9 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... • Normal/low ... of sodium and potassium ... #Urinary #Chloride
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Urinary Chloride ... diarrhea), Sweat ... - Normal/low ... : Chronic diarrhea ... #causes #urinary
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
NG drainage - Diarrhea ... Ureterosigmoidostomy Urinary ... Renal tubular acidosis ... Catecholamines - Alkalosis ... #Potassium #Table
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... mEq/g suggests urinary ... - Metabolic Alkalosis ... - Metabolic acidosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
• Metabolic acidosis ... Gl tract loss (Diarrhea ... • Metabolic acidosis ... secreting tumor, Primary ... #causes #potassium
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic Alkalosis ... diarrhea (congenital ... chronic respiratory acidosis ... > 20 meq/L • Primary ... other • Severe potassium
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... - Metabolic alkalosis ... NGT suction - Diarrhea ... cause metabolic acidosis
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
• Normal or low ... Hypokalemia (renal potassium ... Renal tubular acidosis ... diarrhea Potential ... Supplement: • Potassium
#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 ... 2)| Metabolic Alkalosis ... 9 Respiratory Acidosis ... pCO2 Respiratory Alkalosis ... -2min Calcium chloride