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diagnosis differential causes nephrology management chloride hypokalemia criticalcare overview pathophysiology potassium urinary acidosis aspirin elevation gitelman hypernatremia hypochloremia lactate lactic
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... Urinary Chloride Algorithm ... /low blood pressure ... #Metabolic #Alkalosis ... #Algorithm #nephrology
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Congenital chloride diarrhea ... - Normal/low blood ... acidosis: Chronic diarrhea
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... Laxative use • Diarrhea ... A urine K/Cr ratio ... Alkalosis: Emesis
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
145 mmol/L High Urine ... Osmotic diuresis (see ... mannitol, glucosuria Low ... Urine Osmolality ... loss • Watery Diarrhea
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
altered 2) You see ... Pulmonary edema, Shock ... Acidosis, Respiratory Alkalosis ... Potassium, Low ... Resuscitation 2) Urine
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... alkalosis - Fistulas ... NGT suction - Diarrhea ... alkalosis #Hypochloremia
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal: metabolic ... - Low CO and therefore ... : GI (vomiting/diarrhea ... #Classification ... differential #causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal: metabolic ... - Low CO and therefore ... : GI (vomiting/diarrhea ... #Classification ... differential #causes #classification
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm Normal Anion Gap (<14) (Loss of Bicarbonate) -
Causes of Non-Gap Metabolic ... Differential Diagnosis Algorithm ... Loss (Negative urine ... net charge) • Diarrhea ... Cell Problem - Low
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 ... Hypochloremic metabolic ... (spot urine, calcium-creatinine ... Congenital chloride diarrhea
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