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diagnosis algorithm differential hyperkalemia hypokalemia nephrology pharmacology rhabdomyolysis binders cardiology chf classification clinical comparison criticalcare encephalopathy evaluation foamed grading heartfailure
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
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
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... nonexertional: • Electrolytes ... Monitor potassium ... #Summary #causes ... #treatment
Hepatic Encephalopathy - Diagnosis and Management Summary Definition: • Alteration in brain function manifested by neuropsychiatric symptoms
Diagnosis and Management ... neuropsychiatric symptoms • Caused ... Diuretic overdose, Electrolyte ... of dehydration, electrolyte ... Classification #Diagnosis #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... long QT Syndrome Electrolyte ... Abnormalities: Hypomagnesemia ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Summary Causes ... Nonexertional: - Electrolytes ... Monitor potassium ... #causes #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... only if no clear cause ... Elimination (see Table ... : • K-Binding ... #Treatment #potassium
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... warranting urgent treatment ... important because management ... of concurrent hypomagnesemia ... depletion impedes potassium
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Some exam findings ... & Dry) is the treatment ... the determined cause ... differential #algorithm #management ... #table #foamed
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