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Tricks for Managing Endocrine Related Dysnatremias

Tricks for Managing Endocrine Related Dysnatremias

Tricks for Managing Endocrine Related Dysnatremias

Dr Meghan Harmon DVM
Dr Meghan Harmon DVM
on behalf of Missouri Veterinary Medical Association


$ 25.00 $ 25.00 $ 25.00
Normal Price: FREE $25.00


Launch date: 14 Nov 2016
Expiry Date:

Last updated: 01 Sep 2018

Reference: 167054

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This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.


This lecture will be a case-based presentation on a post-operative patient (standard TPLO procedure) that developed life threatening hypernatremia. The lecture will focus on differentials for hypernatremia with a focus on differentiating central and nephrogenic diabetes insipidus. Appropriate and inappropriate diagnostic testing will also be discussed. Another key focus of the lecture will be on the management of acute dysnatremias (managing free water deficit and how to correct sodium carefully depending on the chronicity). Longer term management for central diabetes insipidus will also be discussed.


Objective 1: Differential diagnosis for acute hypernatremia
Participants should be able to form a differential diagnosis list for hypernatremia based on the volume status of the patient (e.g., hypervolemia, normovolemia, hypovolemia).
Objective 2: Diagnostic approach to hypernatremia
The diagnostic approach to patients with hypernatremia should involve a thorough evaluation of the patient's history and physical examination. Subsequently, a urinalysis, CBC, chemistry, urine culture, +/- endocrine testing, +/- abdominal imaging, +/- bile acids, and +/- infectious disease titers may be warranted.
Objective 3: Acute management of the hypernatremic patient
A case based approach to hypovolemic and normovolemic hypernatremia will be presented. A discussion on the fluid strategies for management of both acute and chronic hypernatremia will be emphasized.
Dr Meghan Harmon DVM

Author Information Play Video Bio

Dr Meghan Harmon DVM
on behalf of Missouri Veterinary Medical Association

Dr. Meghan Harmon is a clinical instructor at the University of Missouri College of Veterinary Medicine. She completed her Small Animal Rotating Internship at North Carolina State University before pursuing a residency in Emergency and Critical Care Medicine at Michigan State University. Dr. Harmon became a diplomate of the American College of Veterinary Emergency and Critical Care in 2014. Her research interests include: coagulation, trauma, and immune-mediated disease. In May 2016, she was awarded the Zoetis Distinguished Veterinary Teacher Award.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • Missouri Veterinary Medical Association
  • 1.00 Hours -
    Exam Attempts: 3
    Exam Pass Rate: 50

Faculty and Disclosures

Additional Contributors

Conflicts Declared

Conflicts of Interest declaration by Author:

Significant portions of this program and course notes were presented by the author at the AVMA conference in 2016.

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