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diagnosis differential hypokalemia magnesium treatment algorithm potassium rhabdomyolysis binders binding checklist classification comparison criticalcare deficiency electrolytes evaluation high hyperkalemia hypermagnesemia
Potassium Electrolyte Repletion If patient also has hypomagnesemia, replete magnesium before repleting potassium Oral: • Pills (ask pharmacy
Potassium Electrolyte ... also has hypomagnesemia ... Intravenous (can cause ... #Potassium #Electrolyte ... #Repletion #management
Magnesium Electrolyte Repletion Oral - Only do if patient does not tolerate IV • Magnesium oxide (can
Magnesium Electrolyte ... Repletion Oral ... #Magnesium #Electrolyte ... #Repletion #management ... #hypomagnesemia
Electrolyte Repletion Significant electrolyte depletion can result in serious complications. These guidelines are meant to assist with
Electrolyte Repletion ... mechanisms can all cause ... the underlying cause ... essential for repletion ... #hypocalcemia #hypomagnesemia
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
Hypomagnesemia Treatment Protocol - Magnesium Repletion Goal serum magnesium concentration 2.0-2.4 mg/dL Serum magnesium concentration - IV Magnesium
Hypomagnesemia Treatment ... Protocol - Magnesium Repletion ... #Treatment #management ... #Magnesium #Repletion ... #electrolyte #deficiency
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 ... Consider magnesium repletion ... - Repletion Of ... #Hypokalemia #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 ... 1b (lidocaine)- case ... TorsadesdePointes #TDP #Management
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Side Effects: Hypomagnesemia ... constipation, diarrhea, nausea ... Intestinal necrosis; electrolyte ... hypokalemia); nausea ... #pharmacology #table
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... Most cases of hypokalemia-induced ... important because management ... of concurrent hypomagnesemia ... impedes potassium repletion
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