Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):
- RAAS ON (UNa < 30): Hypovolemia, Heart failure, Cirrhosis, Nephrotic syndrome
- RAAS OFF (UNa > 30): SIADH, Medications (diuretics), Hypothyroidism, Adrenal insufficiency, Reset osmostat, Cerebral salt wasting
• ADH OFF (UOsm < 100): Primary polydipsia, Low solute intake, Beer potomania
Isotonic Hyponatremia: Hyperlipidemia, Paraproteinemia, IVIG
Step-by-step Guide: http://bit.ly/HyponatremiaAlgorithm
by Satya Patel, MD @SatyaPatelMD
#Hyponatremia #Algorithm #diagnosis #sodium #nephrology
