Evaluation of Hypernatremia

Are you evaluating patient with hypernatremia?

Yes

Serum sodium

Is the extracellular fluid volume expanded (edema, etc.)?

Yes

Normal body weight

Current body weight

Is urine output greatly reduced?

Yes

Urine osmolality

mOsm/kg H2O

Does urine output decrease after ADH administration?

Was a diuretic administered to the patient?

Yes

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Data complete?

Evaluation appropriate?

Is hypernatremia present?

Possible explanation for hypernatremia

• sodium gain

• water shift

• nonrenal water loss

• central diabetes insipidus

• nephrogenic diabetes insipidus

• drug-induced diuresis

• osmotic diuresis (glucose, urea, mannitol)

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Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10

Purpose: To identify the cause of hypernatremia based on clinical and laboratory findings.

Evaluation

Results

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MedicalAlgorithms.com APIs

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10