65 results
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... water loss, Serum Sodium ... 145 mmol/L High Urine ... glucosuria Low Urine ... Diagnosis #Algorithm #Causes
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 - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
usually caused by ... Measure urine osmolality ... Treatment: Treatment ... the underlying cause ... management #nephrology #sodium
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 ... the hyponatremia ... Measured urine 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 ... with poor renal perfusion ... 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
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... Hypernatremia ... history, exam, and urine ... DI; high dilute urine ... management #nephrology #sodium
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 ... Check levels after infusion ... SIADH — look for cause ... give specific treatment ... #sodium
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
109 mEq/L • Sodium ... shift • Saline Causes ... and renal tissue perfusion ... Decreased GFR, urine ... • Saline May Cause