Dr. Anis, from the Nephrology department walk us through the physiology of water balance and the diagnostic approach to hyponatremia. Educational Tidbits: General Approach to Hyponatremia Check serum osms Elevated serum osm: likely hyperglycemia or other osmotic agent Normal serum osm: psuedohyponatremia (hyperproteinemia or hyperlipidemia) Low urine osm: confirmed hypo-osmolar hyponatremia, proceed to b….2 Check urine osms Urine osms < 100: non ADH dependent Excess fluid intake (psychogenic polydipsia) Decreased solute intake (beer potomania and tea and toast) Urine … Continue reading “Approach to Hyponatremia – Dr Anis”
Author jacobi Posted on August 6, 2019August 6, 2019Categories Education