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HypoNa plan

‍‍﻿‍Repeat Na﻿ 
‍‍﻿‍Stop offending meds:﻿ ‍thiazide diuretics﻿ 
‍‍﻿‍Limit fluids intake﻿ 
‍‍﻿‍CBC, Cr, Lytes, Albumin, Glucose, TSH﻿ 
‍‍﻿‍Calcium, Magnesium﻿ ‍Cortisol (morning)﻿ 
‍‍﻿‍Serum osmolality (measured + calculated﻿ 
‍‍﻿‍Urinalysis﻿ ‍Urine Na, Cr, osmolality﻿  
‍‍﻿‍Chest X-ray﻿ 
‍‍﻿‍NaCl 1g po bid﻿ 
‍‍﻿
‍‍Common etiologies: potomania, SIADH, post-op, pulmonary neoplasm, granulomatous disease, recent SAH, cerebral salt wasting syndrome, HypoT4, adrenal insufficiency, SSRI, SSRN, Carbamazepine, Chemo
‍‍﻿
‍‍SIADH:
‍‍	Urinary Na >20
‍‍	Urinary Osm >100
‍‍	FeNa > 2% (MD-Calc 

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