A patient presents with acute hyponatremia and mild to moderate symptoms such as polydipsia and headache. What is the appropriate treatment? Administer only hypertonic saline Administer diuretics Administer isotonic saline or small dose of hypertonic saline and monitor Na+ hourly Administer glucose

Administer isotonic saline or small dose of hypertonic saline and monitor Na+ hourly

A patient presents with severe symptomatic hyponatremia (acute) with symptoms like confusion and seizures. What is the recommended treatment? Administer isotonic saline Administer glucose Administer hypertonic saline and monitor Na+ hourly until goal is met Administer diuretics

Administer hypertonic saline and monitor Na+ hourly until goal is met

A patient with hypovolemic hyponatremia uses diuretics and has urinary Na+ > 20 mEq/L. What is the appropriate treatment? Administer only hypertonic saline Administer isotonic or hypertonic saline and stop diuretic Administer diuretics Administer glucose

Administer isotonic or hypertonic saline and stop diuretic

A patient with hypovolemic hyponatremia associated with third spacing, such as bowel obstruction, is diagnosed. What is the treatment? Administer glucose Administer isotonic saline and treat underlying cause Administer diuretics Administer hypertonic saline

Administer isotonic saline and treat underlying cause

A patient with hypovolemic hyponatremia has elevated glucose and a history of mannitol use. What is the treatment? Correct the glucose level and discontinue mannitol Administer diuretics Administer isotonic saline Administer hypertonic saline

Correct the glucose level and discontinue mannitol

A patient with hypovolemic hyponatremia associated with renal tubular acidosis requires treatment. What should be administered? Administer isotonic saline Administer glucose Correct acidosis with sodium bicarbonate Administer hypertonic saline

Correct acidosis with sodium bicarbonate

What is the treatment for Hartnup syndrome? Administer hypertonic saline Administer glucose Supplemental nicotinamide, niacinamide, and vitamin B3 Administer isotonic saline

Supplemental nicotinamide, niacinamide, and vitamin B3

Nephrology - Treatment/Management (session 3)

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Medicine - Nephrology

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Cards in this deck(37)

A patient presents with acute hyponatremia and mild to moderate symptoms such as polydipsia and headache. What is the appropriate treatment?

A patient presents with severe symptomatic hyponatremia (acute) with symptoms like confusion and seizures. What is the recommended treatment?

A patient with hypovolemic hyponatremia uses diuretics and has urinary Na+ > 20 mEq/L. What is the appropriate treatment?

A patient with hypovolemic hyponatremia presents with symptoms of diarrhea and vomiting and urinary Na+ < 20 mEq/L. What is the treatment?

A patient with hypovolemic hyponatremia associated with third spacing, such as bowel obstruction, is diagnosed. What is the treatment?

A patient with hypovolemic hyponatremia has elevated glucose and a history of mannitol use. What is the treatment?

A patient with hypovolemic hyponatremia has a history of mineralocorticoid deficiency. What is the appropriate treatment?

A patient with hypovolemic hyponatremia associated with renal tubular acidosis requires treatment. What should be administered?

A patient with hypovolemic hyponatremia associated with salt-wasting nephropathies has urinary Na+ > 20 mEq/L. What is the treatment?

What is the treatment for Hartnup syndrome?

What is the management strategy for nephritic syndrome?

What is the management strategy for renal vascular hypertension (RVHT)?

What is the treatment for renal cell carcinoma (RCC)?

What is the treatment for Wilms tumor?

How do you manage a patient presenting to the ER with acute renal colic (nephrolithiasis)?

What are the surgical options to manage nephrolithiasis?

What is the outpatient management strategy for nephrolithiasis?

True or False: Once a patient has had a kidney stone, the general recommendation is to restrict dietary intake of calcium.

What is the management strategy for Lesch-Nyhan syndrome?

What is the management strategy for autosomal dominant polycystic kidney disease (ADPKD)?

What is the management strategy for a horseshoe kidney?

A patient presents with severe high anion gap, pH < 7.2, and bicarbonate loss. What is the treatment and what should we be wary of?

How do you manage anion gap metabolic acidosis secondary to diabetic ketoacidosis (DKA)?

How do you manage anion gap metabolic acidosis secondary to ethylene glycol?

What is the management strategy for metabolic alkalosis?

What is the management strategy for respiratory acidosis?

What is the management strategy for respiratory alkalosis?

What is the treatment for acute interstitial nephritis?

What is the treatment for renal papillary necrosis?

What is the treatment for renal tubular acidosis type 1 (RTA1)?

What is the treatment for renal tubular acidosis type 2 (RTA2)?

When should you hospitalize a patient with nephrotic syndrome?

What is the management strategy for nephrotic syndrome in children?

What is the management strategy for nephrotic syndrome in adults?

What is the treatment strategy for acute kidney injury (AKI)?

Should you admit patients with acute kidney injury (AKI) and consult nephrology?

A patient presents with a fever and rash after taking NSAIDs. Labs show elevated serum Cr and eosinophils. What is the initial treatment?

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Nephrology - Treatment/Management (session 3)

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