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nephrology differential management table cancer causes chf clinical criticalcare heartfailure hypotonic hypovolemia icu oncology osmolality pharmacology physiologic potomania raas thiazides
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Utilizing Uric Acid ADH ... Uric Acid → SIADH ... #sodium #low #uricacid
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... > 30): SIADH, Medications ... Primary polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... or Ineffective (UNa ... (Uosm ≥100): SIADH ... #differential #diagnosis
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Appropriate (↓ EABV ... Inappropriate - Consider: SIADH ... Primary polydipsia, Low
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
stimulated in states of low ... Measured urine sodium ... #hyponatremia #ADH ... #Hypovolemia #EBV ... #potomania #SIADH
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... uric acid <4 • SIADH ... Hypothyroidism, Low ... #algorithm #diagnosis ... #sodium #low #nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium ... Saline: • If Urine ... osmolality < 538 AND UNa ... antagonists: • Blocks ADH ... #nephrology #treatment
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... promoting passive sodium ... osmolality < 538 AND UNa ... vaptans) • Blocks ADH ... #Management #hyponatremia
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... majority of cases, ADH ... Measure urine osmolality ... volume status (EABV ... #nephrology #sodium
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm ... 100 mOsm/kg = Urine ... inappropriate • SIAD ... #Cancer #algorithm
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