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diagnosis differential hyponatremia management acidosis alkalosis causes chloride elevation epilepticus foamed hypernatremia hypotonic lactate lactic metabolic neurology pediatrics peds physiologic
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... Cirrhosis, Nephrotic syndrome ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Cirrhosis, Nephrotic syndrome ... > 30): SIADH, Medications ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume Status ... • Euvolemic (Low ... , Cushing syndrome ... #nephrology #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... , Gitelman syndrome ... Normal acid-base status ... #nephrology #differential
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... Antiepileptic Drug ... Alternative medications ... IV Thiopental Sodium ... pediatrics #peds #algorithm
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
mimic the “Starved state ... for Refeeding Syndrome ... both conditions, low ... #differential #algorithm ... management #treatment #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
presentations and disease states ... LV failure - Low ... - Compartment syndrome ... - HIV/HAART medications ... #typea #typeb #classification
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