Dr. Satya Patel @SatyaPatelMD
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https://twitter.com/SatyaPatelMD | Hospitalist @LosAngelesVA | Anesthesiology Intern APD @UCLAHealth | Interested in medical education, curriculum design, and QI | https://bit.ly/pocketcardset
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hyponatremia nephrology management treatment diagnosis hypophosphatemia hypotension intern low orthostatic phosphate phosphorus repletion volume
Phosphate Electrolyte Repletion Oral: Neutra-Phos, Neutra-Phos-K, K-Phos Neutral (Na and K Phos) Intravenous: Potassium Phosphate, Sodium Phosphate Satya Patel
Phosphate Electrolyte ... Potassium Phosphate, Sodium ... #Phosphate #Electrolyte
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... OFF (UNa > 30): SIADH ... #Hyponatremia #Algorithm ... #diagnosis #sodium
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... underlying cause of SIADH ... food has water • Electrolyte ... promoting passive sodium ... SatyaPatelMD #SIADH
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid <4 • SIADH ... #Hyponatremia #algorithm ... #diagnosis #sodium
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... SatyaPatelMD #SIADH
Orthostatic Hypotension Management Algorithm • Hypovolemic? Yes → Resuscitate • Volume Overloaded? No → Fludrocortisone
Hypotension Management Algorithm ... → Decrease in sodium ... Hypotension #Management #Algorithm
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