25 results
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... Measure urine osmolality ... the underlying cause ... #Differential # ... management #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential ... water loss, Serum Sodium ... 145 mmol/L High Urine ... glucosuria Low Urine
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... of Hyponatremic ... May repeat until clinical ... Increase in sodium ... L. 5) Monitor urine
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... serum osmolality, urine ... and urine osmolality ... helps to differentiate ... Measured urine sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... The differential ... history, exam, and urine ... DI; high dilute urine ... management #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... : SIADH, Renal Sodium ... #differential # ... diagnosis #table #sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
: • Causes can ... promoting passive sodium ... Saline: • If Urine ... SIADH #Management #hyponatremia ... #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 ... 0.9% NS • If Urine ... SIADH #Management #hyponatremia ... #nephrology #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... SIADH — look for cause ... hourly • Identify Cause ... give specific treatment ... #sodium
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm Clinical ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... Diagnosis #Algorithm #endocrinology