8 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... restriction alone ... in SIADH RAAS ... , Renal Sodium loss ... can be high or low
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Algorithm Hypertonic ... OFF (UNa > 30): SIADH ... Primary polydipsia, Low ... solute intake, ... #sodium #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... to Hyponatremia ... uric acid <4 • SIADH ... algorithm #diagnosis ... #sodium #low #nephrology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... Hypertonic Saline ... if patient has severe ... #Management #algorithm ... #treatment #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
water loss, Serum Sodium ... 300 mmol/kg • Hypertonic ... saline administration ... mannitol, glucosuria Low ... ICU patients • Fever
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline
The goal of acute management is to
Hyponatremia with ... Severe Symptoms ... probably not the low ... #Algorithm #treatment ... #Hypertonic #Saline
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... Measure urine osmolality ... syndrome. 3% saline ... Other options for severe ... management #nephrology #sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium ... colon 0.9% Normal Saline ... : • If Urine osmolality ... #Management #hyponatremia ... #nephrology #treatment