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Nov 2022
1h 2m

Störungen im Salz- und Wasserhaushalt

AMBOSS-Redaktion
About this episode
Interview mit Dr. Matthias Janneck (Nephrologe)

Diagnostik, Einordnung und Therapie von Störungen im Salz- und Wasserhaushalt – praxisnah und anwendungsbezogen.

Inhaltsverzeichnis: 00:00 Intro 01:32 Klinische Relevanz 03:27 Aldosteron und die Volumenregulation 06:25 ADH und die Osmoregulation 08:02 Die Rolle des Blutdrucks 09:36 Viele Flussdiagramme – kein Durchblick? 12:39 1. Fall: Hyponatriämie bei Herzinsuffizienz 18:05 Diuretika und Trinkmengenrestriktion trotz schlechter Nierenwerte 20:44 „Salztabletten“: Ein ärztlicher Kunstfehler 22:37 2. Fall: Hyponatriämie bei SIADH 25:56 Serum- und Urindiagnostik bei SIADH 30:08 Therapie des SIADH 36:20 Die zentrale pontine Myelinolyse 38:39 3. Fall: Hyponatriämie bei Diarrhö 42:55 Kein Widerspruch: Trinkmengenrestriktion und Vollelektrolytlösung 46:52 Tipps zur Medikamentenanamnese 49:41 Die akute Hyponatriämie: Ein absoluter Notfall 56:14 Die Hypernatriämie 01:00:57 Fazit und Outro

Mehr Infos zum SIADH in AMBOSS: https://go.amboss.com/n9d

Zum AMBOSS-Sonokurs: https://go.amboss.com/sonokurs

Die Podcastzusammenfassung findet ihr unter: https://go.amboss.com/podcastimblog

Zum AMBOSS-Kapitel „Elektrolytstörungen Natrium“: https://go.amboss.com/natrium

Mehr zum AMBOSS-Podcast: https://go.amboss.com/podcast

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