64 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... #3 - Perform a water ... #Management #Algorithm ... #Sodium #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Diagnosis Algorithm Hypernatremia ... loss, Serum Sodium ... Hyperventilation #Hypernatremia ... #Nephrology #Differential
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... excretion along with water ... Serum Osmolarity 2) ... Osmolarity 3) Urine Sodium ... Diagnosis #Algorithm #nephrology
Hypernatremia Management Algorithm
Acute vs Chronic
Calculate Losses
 • Current water Deficit
 • Ongoing Free water Losses
 •
Hypernatremia Management ... • Ongoing Free water ... Medicine @SCVMCMed #Hypernatremia ... #Management #Algorithm ... #treatment #nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... Diagnosis Inadequate water ... Lack of access to water ... Diagnosis #Causes #nephrology ... #sodium #high
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Neurological event 2) ... Sodium loss from ... Hypovolaemia → ADH → water ... Pathophysiology #diagnosis #nephrology ... #hyponatremia #
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... and Treatment Hypernatremia ... unavailable 2) ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... Step 2. ... mmol/L - true hyponatremia ... Workup #Algorithm #Nephrology
Pharmacologic Management of Constipation 
Fiber Laxatives
 - Bran powder
 - Psyllium
 - Methylcellulose
 - Calcium polycarbophil
Pharmacologic Management ... Surfactants - Docusate sodium ... Enemas - Tap water ... - Sodium phosphate ... #Management #Pharmacology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... increasing Na ~5mEq 2. ... 5% Dextrose in water ... Correction #goal #rate #management ... #nephrology