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diagnosis differential hyperkalemia potassium hba1c high management algorithm anemia dm2 eas elevated elevation false fructosamine glycatedproteins hematology hemoglobina1c hemorrhage hgba1c
Causes of False Elevation and Reduction in HbA1c == False Elevation == Decreased RBC turnover • Iron, B-12,
Causes of False ... Elevation == Decreased ... Content • RBC Transfusions ... turnover • Acute blood ... loss • Hemolytic
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... Transfusion Thresholds ... Causes purpura & ... TRALI): Leading cause ... more likely to cause
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Tissue injury • Hemolysis ... dietary intake • Blood ... transfusion • ... of injection Decreased ... blockers - MCW Nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... transfusion • ... Blood transfusion ... differential #diagnosis #causes ... potassium #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... transfusion • ... Blood transfusion ... differential #diagnosis #causes ... potassium #high #nephrology
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Diagnostic algorithm Decreased ... Potassium-rich diet • Blood ... transfusion • ... Tumor lysis/hemolysis ... Diagnosis #algorithm #nephrology
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology ICH Management: 1. Manage Blood Pressure •
) because they increase ... cerebral blood ... consider platelet transfusion ... = dilated BV = raises ... Pathophysiology #neurology
Hematology Algorithms Anemia is described as a reduction in the proportion of the red blood cells.
proportion of the red blood ... characterized by a decrease ... However, these thresholds ... These causes could ... Satyendra Dhar MD, @DharSaty
Causes of Hyperkalemia Pseudohyperkalemia - Tourniquet use - Hemolysis (in vitro) - Leukocytosis - Thrombocytosis Intra- to extracellular
Causes of Hyperkalemia ... Potassium-containing drugs - Transfusion ... of aged blood ... - Hemolysis (in ... tissue necrosis Decreased
Hemoglobin A1c (glycated hemoglobin) reflects the average blood glucose concentration over the course of the RBC
reflects the average blood ... correlated with 35-76% decrease ... span, such as hemolytic ... transfusions. ... Satyendra Dhar MD, #@DharSaty
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