7 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... Heart failure, Cirrhosis ... table #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... nephrotic syndrome • Hyponatremia ... Kidney stones caused ... and euvolemic hyponatremia ... #Nephrology #Pharmacology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Contraindicated in cirrhosis ... SatyaPatelMD #SIADH ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... • Euvolemia: SIADH ... Failure, Liver Cirrhosis ... Algorithm #diagnosis #causes ... #nephrology #sodium
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... • Cirrhosis - ... Normalizes in SIADH ... • IF SIADH — ... look for cause
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Treat underlying cause ... Contraindicated in cirrhosis ... #Management #hyponatremia ... #nephrology #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... delivery): CHF, cirrhosis ... reabsorption) Workup ... only if no clear cause ... Treatment #potassium #nephrology