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Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Hyponatremia - Diagnostic ... Check Uosm and/or Urine ... tests Step 5: If SIADH ... considered likely, the cause ... #Diagnosis #Workup
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... 0.9% NS • If Urine ... Hypotension, Increased urine ... #Management #hyponatremia ... #nephrology #treatment
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Saline: • If Urine ... SatyaPatelMD #SIADH ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... Pulmonary Diseases ... , SSRIs) - SIADH ... UnremarkableLab #Hyponatremia
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
usually caused by ... 3 questions to work ... Measure urine osmolality ... Treatment: Treatment ... the underlying cause
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... ADH secretion (SIADH ... hemorrhage) - Pulmonary ... DrEricStrong #Hyponatremia ... Diagnosis #Table #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Drugs • Pulmonary ... Hypo-osmolar urine ... osmole intake #Hyponatremia ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Drugs • Pulmonary ... Hypo-osmolar urine ... osmole intake #Hyponatremia ... Diagnosis #Algorithm #Causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... of hypotonic hyponatremia ... volume-based algorithm Urine ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... serum osmolality, urine ... among the possible causes ... in blood urea causes ... EBV #potomania #SIADH
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