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diagnosis nephrology differential causes hyperkalemia hypokalemia management alkalosis chloride crrt epilepticus evaluation k managment modalities modes pediatrics peds perioperative preop
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... intake • Metabolic ... Syndrome • HTN, High ... #causes #potassium ... #low #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... Normal acid-base status ... of sodium and potassium ... Chloride #urine #Algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... urinary losses: • High ... consumption • Low ... #nephrology #low
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... • NSAIDs • ACE ... - Hyperosmolar states ... infusions) - Metabolic ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... • NSAIDs • ACE ... - Hyperosmolar states ... infusions) - Metabolic ... #high #nephrology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Assess functional ... ADLs - Highest metabolic ... event, follow ACC algorithm ... Orthopedic • Low ... ACEi/ARBs - Hold
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
usually severe metabolic ... altered mental status ... • Vascular Access ... SLEDD (Sustained low ... High clearance achieved
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... Intravenous (IV) access ... If no IV access. ... seizure #Management #neurology ... pediatrics #peds #algorithm
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi ... Optimize volume status ... acidosis) • Low ... Management #Treatment #potassium ... #nephrology #K
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