196 results
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of Hyponatremic ... hours. 2) Serum sodium ... Increase in sodium ... L. 5) Monitor urine ... Saline #Treatment #management
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... with symptomatic hyponatremia ... Osm, Serum Sodium ... , Urine Sodium ... Polydipsia #diagnosis #management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... Measure urine osmolality ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... history, exam, and urine ... DI; high dilute urine ... Diagnosis #Treatment #management ... #nephrology #sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... Saline: • If Urine ... SatyaPatelMD #SIADH #Management ... #hyponatremia #
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
promoting passive sodium ... 0.9% NS • If Urine ... Hypotension, Increased urine ... SatyaPatelMD #SIADH #Management ... #hyponatremia #
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
examination, check urine ... sodium and serum ... uric acid: - Urine ... sodium low, uric ... - Urine sodium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Sodium 4) Serum ... Algorithm #nephrology #sodium
Correction formulas for Hypernatremia and Hyponatremia
#Management #Nephro #Hyponatremia #Hypernatremia #Correction #FreeWaterDeficit #Formulas #Androgue #Calculation
Correction formulas for Hypernatremia ... and Hyponatremia ... #Management #Nephro ... #Hyponatremia # ... Hypernatremia #Correction
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential ... Serum Osm • Urine ... MatthewHoMD #Hyponatremia ... Table #nephrology #sodium