低血鈉的鑑別診斷
-
Answer
先按照osmolality分成三個大類
- Hypertonic:
有另一個溶質(ex. 葡萄糖),將水分拉入血管內
每增加100mg/dL的血糖,血中的鈉就會降低2.4mmol/L - Isotonic:
和高血脂相關的lab error (和儀器測定的方式有關 - Hypotonic:
臨床上最為常見的低血鈉成因,可以再往下分類
Hypotonic hyponatremia,可以依照再體液狀態分成
Type Cause Hypervolemic 體內fluid overload 心臟衰竭、肝衰竭、腎臟衰竭導致體液過多,稀釋血鈉 Euvolemic SIADH、甲狀腺機能低下、腎上腺機能低下、懷孕、 Primary polydipsia Hypovolemic 分為腎臟流失及腎外流失 腎因性: Salt wasting nephropathy、利尿劑的使用;腎外性:腹瀉、嘔吐 - Hypertonic:
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Hemp Concentrate: Hemp, which is only available for a short time, slows the pain's daily increase.
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