Volume Based Approach to Hyponatremia Hypovolemic, ...

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Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 • Urine Na >30: Renal losses, Cerebral salt wasting
Euvolemic, Serum uric acid <4
 • SIADH, Hypothyroidism, Low solute intake, Glucocorticoid deficiency, Primary polydipsia
Hypervolemic, Serum uric acid >4
 • Urine Na < 20: Heart failure, Cirrhosis, Nephrotic syndrome
 • Urine Na > 30: Renal failure

Satya Patel, MD @SatyaPatelMD

#Volume #Hyponatremia #algorithm #diagnosis #sodium #low #nephrology

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Dr. Satya Patel

@SatyaPatelMD

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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