27 results
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Check Uosm and/or Urine ... DrEricStrong #Hyponatremia ... #Diagnosis #Workup
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 • U/P Ratio
The Urine / Plasma ... Restriction in Hyponatremia ... MD @NephroMD #Urine ... #Restriction #Hyponatremia ... #diagnosis #management
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Wasting vs SIADH - Pathophysiology ... → Increased urine ... SaltWasting #SIADH #Pathophysiology ... diagnosis #nephrology #hyponatremia
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Differential Diagnosis Workup ... Algorithm 1) Check Urine ... Extrarenal Hypernatremia ... Differential #Diagnosis #Workup
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline ... for Treatment of Hyponatremic ... L. 5) Monitor urine ... #Treatment #management ... #protocol #hyponatremia
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... Measure urine osmolality ... syndrome. 3% saline ... Diagnosis #Treatment #management
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... history, exam, and urine ... DI; high dilute urine ... hyper/isotonic saline ... Diagnosis #Treatment #management
Tumor Lysis Syndrome - Workup and Management

Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Lysis Syndrome - Workup ... and Management ... Initial workup ... uric acid, LDH, Urine ... Syndrome #diagnosis #management
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... colon 0.9% Normal Saline ... : • If Urine osmolality ... SatyaPatelMD #SIADH #Management ... #hyponatremia #
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
(you can start making ... list here, ie hyponatremia ... failure, esp in work-up ... /management of shock ... CPK, HIV, EtOH, Urine