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diagnosis differential hypokalemia treatment algorithm classification magnesium anesthesiology checklist criticalcare hyperkalemia low nephrology pharmacology repletion rhabdomyolysis workup anesthesia binders cardiac
Potassium Electrolyte Repletion If patient also has hypomagnesemia, replete magnesium before repleting potassium Oral: • Pills (ask pharmacy
Potassium Electrolyte ... patient also has hypomagnesemia ... Intravenous (can cause ... #Electrolyte #Repletion ... #management #hypokalemia
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Hypercalcemia, Hypermagnesemia ... Deep coma (any cause ... Hypocalcemia, Hypomagnesemia ... differential #diagnosis #table
Electrolyte Repletion Significant electrolyte depletion can result in serious complications. These guidelines are meant to assist with
Electrolyte Repletion ... Goal serum potassium ... mechanisms can all cause ... the underlying cause ... #hypocalcemia #hypomagnesemia
Magnesium Electrolyte Repletion Oral - Only do if patient does not tolerate IV • Magnesium oxide (can
Magnesium Electrolyte ... diarrhea and cause ... #Magnesium #Electrolyte ... #Repletion #management ... #hypomagnesemia
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... Side Effects: Hypomagnesemia ... Intestinal necrosis; electrolyte ... #Binding #Hyperkalemia ... #pharmacology #table
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Primary intestinal hypomagnesemia ... inhibitors - Electrolyte ... Low #Magnesium #Table ... Classification #Causes
Causes of Prolonged Emergence - Anesthesiology Prolonged Drug Action: • Overdose • Hypothermia (< 33 C) • Incr
Causes of Prolonged ... • Decr protein binding ... Metabolic Causes ... ketoacidosis • Electrolyte ... hypocalcæmia — hypomagnesæmia
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
- Polyuria - Hypomagnesemia ... Diagnosis #Low #Potassium ... #Table #Classification ... #Causes
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
Hypermagnesemia ... DrEricStrong #Hypermagnesemia ... High #Magnesium #Table ... #Causes #Management
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Concomitant severe hy pomagnesemia ... el - Repeat electrolytes ... Enteral potassium ... Intravenous potassium ... #Hypokalemia #Management
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