How do you evaluate the etiology of hyponatremia in a patient with ESRD and baseline oliguria/anuria?

How do you subsequently monitor treatment response without the ability to monitor urine studies, urine output, etc.?

Answer from: at Academic Institution

In patients with ESRD and baseline oliguria or anuria, hyponatremia has to be approached differently because many of the usual diagnostic and monitoring tools (urine sodium, urine osmolality, urine output) are either unavailable or misleading. The key shift is to think in terms of total body water v...

Comments

at Valley Nephrology Associates
In anuric hyponatremic volume gain is usually hypo...

at Ohio State University Wexner Medical Center
I am recalling a PD patient who still made a consi...

Answer from: at Community Practice

Thinking of what happens between dialysis treatments is very helpful. Suggest checking for paraproteinemia.

Please select the option that best describes you:

How do you evaluate the etiology of hyponatremia in a patient with ESRD and baseline oliguria/anuria?

Related Questions