Evaluation of Hyponatremia - Figure

Evaluation of Hyponatremia - Figure - Flowchart Evaluation of Hyponatremia - Figure Evaluation of Hyponatremia - Figure

HYPONATREMIA

ECF VOLUME DEPLETION

ECF VOLUME DEPLETION ECF VOLUME DEPLETION

SLIGHT ECF VOLUME EXCESS

ECF VOLUME EXCESS

DIURETICS

Mineralocorticoid Defeciency

Salt-Losing Nephritis

Diabetic ketoacidosis

Osmotic Diuresis

DIURETICS

Mineralocorticoid Defeciency

Salt-Losing Nephritis

Diabetic ketoacidosis

Osmotic Diuresis

DIURETICS

Mineralocorticoid Defeciency

Salt-Losing Nephritis

Diabetic ketoacidosis

Osmotic Diuresis

Vomitting

Diarrhea

Obstruction/Fistula

Pancreatitis

Sweating/ Fever

Burns

Rhabdomyolysis

Vomitting

Diarrhea

Obstruction/Fistula

Pancreatitis

Sweating/ Fever

Burns

Rhabdomyolysis

Vomitting

Diarrhea

Obstruction/Fistula

Pancreatitis

Sweating/ Fever

Burns

Rhabdomyolysis

SIADH

Glucocorticoid Deficiency

Hypothyroidism

SIADH

Glucocorticoid Deficiency

Hypothyroidism

SIADH

Glucocorticoid Deficiency

Hypothyroidism

URINARY Na⁺ < 10mMol

URINARY Na⁺ < 10mMol ⁺

URINARY Na⁺ > 20mMol

URINARY Na⁺ > 20mMol ⁺

URINARY Na⁺ > 20mMol

URINARY Na⁺ > 20mMol ⁺

WATER RESTRICTION

HYPERTONIC SALINE

LOOP DIURETIC TREATMENT

WATER RESTRICTION

HYPERTONIC SALINE

LOOP DIURETIC TREATMENT

WATER RESTRICTION

HYPERTONIC SALINE

LOOP DIURETIC TREATMENT

URINARY Na⁺ > 20mMol

URINARY Na⁺ > 20mMol ⁺

URINARY Na⁺ < 10mMol

URINARY Na⁺ < 10mMol ⁺

ISOTONIC SALINE

WATER RESTRICTION

SALT RESTRICTION

WATER RESTRICTION

SALT RESTRICTION

WATER RESTRICTION

SALT RESTRICTION

Renal losses

Renal losses Renal losses

Extrarenal Losses

Extrarenal Losses Extrarenal Losses

ECF VOLUME EXCESS

CARDIAC FAILURE

Nephrotic syndrome
Cirrhosis(w/Ascites)

CARDIAC FAILURE

Nephrotic syndrome
Cirrhosis(w/Ascites)

Nephrotic syndrome
Cirrhosis(w/Ascites) CARDIAC FAILURE

RENAL FAILURE

(Oliguria/Anuria)

RENAL FAILURE

(Oliguria/Anuria)

RENAL FAILURE