21 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... mechanism 2) Volume Status ... #Differential # ... #nephrology #sodium
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... improved volume status ... #Treatment #Algorithm ... #Management
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
- Differential ... Diagnosis Algorithm ... administration • Osmotic diuresis ... #Nephrology #Differential ... #Diagnosis #Algorithm
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Algorithm (Serum ... Osm < 275 mosm/kg ... Assess Volume Status ... #Algorithm #Diagnosis ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential ... • Drugs • Pulmonary ... especially thiazide diuretics ... Uosm < 100 mmol/kg ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential ... • Drugs • Pulmonary ... especially thiazide diuretics ... Uosm < 100 mmol/kg ... #Nephrology #Differential
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
in the later (e.g ... , & to correct hyponatremia ... high aldosterone states ... Early nephrologv ... Fluid #Balance #management
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... - Management Seizure ... Lorazepam 0.1 mg/kg ... #treatment #algorithm ... peds #pediatrics #neurology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... The differential ... unavailable 2) Osmotic Diuresis ... patient weight (eg ... #management #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... Tolvaptan) • Treatment ... and euvolemic hyponatremia ... #Nephrology #Pharmacology