18 results
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
Beta-Blockers in Cirrhosis ... Prevention of first variceal ... Prevention of variceal ... #BetaBlockers #Cirrhosis ... hepatology #management #pharmacology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... Heart failure, Cirrhosis ... diagnosis #sodium #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Negative Fluid Balance ... Negative Fluid Balance ... , & to correct hyponatremia ... aldosterone states (CHF, Cirrhosis ... Early nephrologv
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Heart failure, Cirrhosis ... @NephroMD #hyponatremia ... algorithm #causes #nephrology
IV Fluid Composition and Effects on Plasma
0.9% Saline
Ringer's Lactate
Balanced Crystalloid

#IVFluid #Composition #Plasma #comparison #Effects #nephrology #pharmacology
Ringer's Lactate Balanced ... comparison #Effects #nephrology ... #pharmacology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... heart failure • Cirrhosis ... osmole intake #Hyponatremia ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... heart failure • Cirrhosis ... osmole intake #Hyponatremia ... #Nephrology #Differential
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... Heart failure, Cirrhosis ... SatyaPatelMD #Volume #Hyponatremia ... #sodium #low #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Nephrotic syndrome, Cirrhosis ... Cardiac failure #Hyponatremia ... Algorithm #Causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... underlying cause (CHF, cirrhosis ... UnremarkableLab #Hyponatremia ... Algorithm #diagnosis #nephrology