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diagnosis nephrology differential table treatment anesthesiology checklist intraoperative crisis diuresis diuretics excretion hyperthermia hypotonic malignant medications pharmacology physiologic polydipsia prs
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 ... restriction alone in SIADH ... , Renal Sodium loss ... water intake (Primary
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
ADH secretion (SIADH ... hemorrhage) - Pulmonary ... failure - Primary ... Diagnosis #Table #Causes ... #Sodium
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... include pain, primary ... promoting passive sodium ... Saline: • If Urine ... #Management #hyponatremia
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
Pseudohyponatremia, SIADH ... intoxication Initial Workup ... Osm, Serum Sodium ... , Urine Sodium ... Polydipsia #diagnosis #management
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying cause ... Primary lung pathology ... promoting passive sodium ... 0.9% NS • If Urine ... #Management #hyponatremia
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... record hourly urine ... Consider monitoring cardiac ... surgical site, urine ... #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... mononeuritis multiplex WORKUP ... : UA, Urine protein ... Goodpasture's cause ... differential #diagnosis #management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... dantrolene and cardiac ... hyperventilate, sodium ... ); may require renal ... #Workup
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... Kidney stones caused ... • Bleeding • Cardiac ... insipidus • Primary
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