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diagnosis differential hypokalemia nephrology algorithm low alkaliintake barttersyndrome causes chloride distantdiuretics endocrinecause endocrinecauses gitelmansyndrome management measuredurineci metabolic metabolicalkalosis mineralocorticoidexcess ngsuction
Blood gas analysis Metabolic alkalosis Measured urine CI < 10 mEq/L Saline responsive > 10 mEg/L Not saline responsive - Vomiting or NG
Blood gas analysis ... Metabolic alkalosis ... Bartter syndrome - Gitelman ... syndrome - Potassium ... diuretics #BloodGasAnalysis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... Laxative use • Diarrhea ... losses: • High Blood ... - Metabolic Alkalosis ... Bartter syndrome, Gitelman
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Congenital chloride diarrhea ... • Normal/low blood ... Bartter syndrome, Gitelman ... acidosis due to diarrhea ... of sodium and potassium
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Normal or low blood ... Hypokalemia (renal potassium ... Hypochloremic metabolic alkalosis ... Congenital chloride diarrhea ... Supplement: • Potassium
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
Metabolic alkalosis ... administration (red blood ... factor (white blood ... Gastrointestinal loss (diarrhea ... #Classification
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