10 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... - Urinary Chloride ... /low blood pressure ... of sodium and potassium ... #Urinary #Chloride
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... - Urinary Chloride ... diarrhea), Sweat ... - Normal/low blood ... poisoning • Normal acid-base
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Losses: • Normal Acid-Base ... Metabolic acidosis ... Gl tract loss (Diarrhea ... secreting tumor, Primary ... #causes #potassium
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... alkalosis - Fistulas ... NGT suction - Diarrhea ... • Fatigue Chloride
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Acid Base and Blood ... pH - What’s the primary ... Alkalosis - “BLVD ... Vomiting D - Diarrhea ... acidbase #workup #algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... consumption • Low ... Alkalosis: Emesis ... #nephrology #low
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... diarrhea (congenital ... > 20 meq/L • Primary ... • Severe potassium ... after fasting #Metabolic
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 ... diarrhea Potential ... Supplement: • Potassium
Causes of Hypokalemia
I. Decreased intake
   A. Starvation
   B. Clay ingestion
II. Redistribution into
Acid-base ... Metabolic alkalosis ... Vitamin or folic acid ... Gastrointestinal loss (diarrhea ... #Potassium #Classification
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
Trans Tubular Potassium ... (HCO3d-HCO3m) Metabolic ... HCO3)+8 (+-2)| Metabolic ... Alkalosis ТНСО3 ... -2min Calcium chloride