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differential nephrology hypokalemia management causes chloride alkalosis hematology metabolic pathophysiology reactions urinary criticalcare foamed hypochloremia hypomagnesemia magnesium syndrome transfusion transfusions
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... Gastrointestinal loss: Diarrhea ... effective arterial blood ... Bartter syndrome, Gitelman ... #algorithm #diagnosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... Laxative use • Diarrhea ... Bartter syndrome, Gitelman ... #Hypokalemia #diagnosis ... #low
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... Gl tract loss (Diarrhea ... Bartter syndrome, Gitelman ... #potassium #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... blood pressure: ... Bartter syndrome, Gitelman ... of sodium and potassium ... #differential #diagnosis
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Algorithm GI LOSS ... Mg < 10g • Diarrhea ... nephrocalcinosis (FHHNC) • Gitelman's ... Hypomagnesemia #Magnesium #Low ... #Algorithm
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... blood pressure ... Hypocalciuria (spot urine ... Congenital chloride diarrhea ... #Syndrome #diagnosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Differential Diagnosis ... Algorithm - Urinary ... - Normal/low ... blood pressure: ... Bartter syndrome, Gitelman
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Differential Diagnosis ... Algorithm Cause ... Decreased Intake: • Low ... NGT suction - Diarrhea ... - Bartter - Gitelman
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... flank pain, dark urine ... Blood products contain ... potassium from ... Hypothermia: Due to low
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... Blood products contain ... potassium from ... Hypothermia: Due to low ... #diagnosis #management
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