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diagnosis differential nephrology algorithm hypokalemia chloride low management metabolic pathophysiology hematology product reactions urinary alkaliintake barttersyndrome bloodgasanalysis bulimianervosa complications distantdiuretics
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 - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Congenital chloride diarrhea ... - Normal/low blood ... Bartter syndrome, Gitelman ... acidosis: Chronic diarrhea ... Diagnosis #Algorithm #causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Congenital chloride diarrhea ... • Normal/low blood ... Bartter syndrome, Gitelman ... the indicated causes ... of sodium and potassium
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
NG drainage - Diarrhea ... Catecholamines - Alkalosis ... Diagnosis #Low #Potassium ... #Table #Classification ... #Causes
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Metabolic alkalosis ... NGT suction - Diarrhea ... - Bartter - Gitelman ... essential for blood ... metabolic alkalosis
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 ... H+ loss Renal cause ... Bartter syndrome - Gitelman ... syndrome - 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 Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... Chloride-rich diarrhea ... furosemide-like lesion) • Gitelman ... other • Severe potassium ... Differential #Diagnosis #Causes
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
Causes of Hypokalemia ... Metabolic alkalosis ... Gastrointestinal loss (diarrhea ... #Classification ... #Causes
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Causes purpura & ... TRALI): Leading cause ... donors (due to anti-HLA ... cutaneous eruptions, diarrhea ... potassium from
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