Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
• Tea and Toast Syndrome, Beer Potomania - Low solute diet. Responds briskly to IV fluids. Treat with a high solute/protein diet.
• Psychogenic Polydipsia - Responds to fluid restriction.
• Renal Failure - Restrict fluid and dialyze.
ADH Dependent:
• Hypovolemic - GI losses, renal losses, or other losses.
• Euvolemic - Hypothyroidism, adrenal insufficiency, SIADH.
• Hypervolemic - Heart failure, liver failure, nephrotic syndrome.
- The Curbsiders @thecurbsiders
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