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levitra comprimes Unsede Hyponatremia Measure serum High Hypertonic hyponatremia presence of osmotic substances Hyperglycemia Mannitol glycerol osmolality Normal Pseudohyponatremia proteins TGs Low True hyponatremia Assess ECF volume status Low total body Na is low Normal High Hypovolemic Euvolemic SIADH Psychogenic polydipsia Postoperative Hypervolemic CHF Nephrotic syndrome Liver disease Hypothyroidism Measure urine Na Low Extrarenal salt loss Diarrhea vomiting Diaphoresis Third spacing High Renal salt loss Excessive diuretic use Low aldosterone ATN Adapted from HarwoodNuss A Wolfson AB.
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