124 results
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
post-operative phenomenon, medications ... promoting passive sodium ... Saline: • If Urine ... SIADH #Management #hyponatremia
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Post-operative phenomenon, Medications ... promoting passive sodium ... 0.9% NS • If Urine ... Hypotension, Increased urine ... 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
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential ... Serum Osm • Urine ... MatthewHoMD #Hyponatremia ... Table #nephrology #sodium
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... uric acid >4 • Urine ... uric acid >4 • Urine ... SatyaPatelMD #Volume #Hyponatremia ... algorithm #diagnosis #sodium
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... > 30): SIADH, Medications ... Algorithm #diagnosis #sodium
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 • U/P Ratio
The Urine / Plasma ... Restriction in Hyponatremia ... FR < 1000 mL + Medication ... MD @NephroMD #Urine ... #Restriction #Hyponatremia
Hyponatremia Differential Diagnosis Algorithm

By Dr. Khudhur Mohammed @khudhur_moh

#Hyponatremia #Differential #Diagnosis #Algorithm #sodium #nephrology
Hyponatremia Differential ... khudhur_moh #Hyponatremia ... Diagnosis #Algorithm #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Diagnosis Algorithm Hypernatremia ... water loss, Serum Sodium ... 145 mmol/L High Urine ... glucosuria Low Urine