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hyponatremia nephrology diagnosis differential management low treatment causes epilepticus hypernatremia hypotonic lazy neurology pediatrics physiologic seizure status table uricacid volume
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 3) Urine Sodium ... Low Uric Acid → SIADH ... Differential #Diagnosis #Algorithm ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... , CNS Disease, Meds ... , SSRIs) - SIADH ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... OFF (UNa > 30): SIADH ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... overload Urea powder ... promoting passive sodium ... SatyaPatelMD #SIADH
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... , Renal Sodium loss ... diagnosis #table #sodium
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... underlying cause of SIADH ... Urea powder • Induces ... promoting passive sodium ... SatyaPatelMD #SIADH
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... EUVOLEMIC • SIADH ... Diagnosis #Workup #Algorithm
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid <4 • SIADH ... #Hyponatremia #algorithm ... #diagnosis #sodium
A lazy man's classification of hyponatremia There are two possible approaches to the diagnosis of hyponatremia: .
osmolality and urinary sodium ... the patient has SIADH ... #Hyponatremia #Algorithm
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Normalizes in SIADH ... • IF SIADH — ... Hyponatremia #Management #algorithm ... #treatment #sodium
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