10 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Algorithm Cl- ... /low blood pressure ... of sodium and potassium ... #Metabolic #Alkalosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... diarrhea), Sweat ... - Normal/low blood ... acidosis: Chronic diarrhea
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #nephrology #low ... #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
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... intake • Metabolic ... Gl tract loss (Diarrhea ... Renal Losses: • Metabolic ... #causes #potassium
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... diarrhea (congenital ... thiazide-sensitive site) Metabolic ... • Severe potassium ... after fasting #Metabolic
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
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
Metabolic alkalosis ... Gastrointestinal loss (diarrhea ... Increased secretion of potassium ... Differential #Diagnosis #Low ... #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