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nephrology diagnosis differential causes management hypokalemia potassium low metabolic alkalosis endocrinology high hypercalcemia hyponatremia crrt malignancy medications nongap replacement sodium
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
Treatment of hyperkalemia ... fludrocortisone step 3 = diuretic ... determine response to diuretic ... #diuretics #diuresis ... #nephrology #algorithm
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
plasma insulin (treatment ... Losses: - Diuretics ... thiazide-like diuretics ... Postobstructive diuresis ... , Osmotic diuresis
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... losses, Diuretic ... Ketonuria, Osmotic diuresis ... failure Hypervolemia ... #Causes #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Diuretics and Agents ... ; High-Ceiling Diuretics ... Hyponatremia • Hypercalcemia ... Tolvaptan) • Treatment ... #Diuresis #Nephrology
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
- Insulin (high ... foscarnet - Diuretics ... and other loop diuretics ... antiretroviral therapy - Diuretics ... differential #diagnosis #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Sodium loss (diuretics ... deficiency, Post-AKI diuresis ... (AKI, Post-AKI diuresis ... : Hypovolemia, Hypervolemia
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... Syndrome • HTN, High ... Loop and thiazide diuretics
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Losses Non-renal ... • Discontinued diuretic ... #nephrology #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
G-K), K-sparing diuretics ... improve GFR - Diuresis ... hypertonic Amp IVP • Diuretics ... (IV loop diuretic ... - IV loop diuretic
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Renal Failure, Post-Renal ... Effects • Thiazide Diuretics ... Breast, Kidney, Lung ... Differential #Diagnosis #Algorithm
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