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Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
management #algorithm #nephrology ... #Potassium #Treatment
Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Algorithm using Urine Potassium ... #Hypokalemia #Differential ... Diagnosis #Algorithm #Potassium ... Creatinine #Ratio #nephrology
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Hyperkalemia - Differential ... Excretion (IV potassium ... #Hyperkalemia #Nephrology ... #Differential #
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... Fluids Shift potassium ... Sodium bicarbonate Potassium ... #nephrology
Causes of CSF Lymphocytic Pleocytosis - Differential Diagnosis
Viral: Arbo, Adeno, Herpes, Entero, HIV
Fungal: Cryptococcus, Cocci, Histo,
Pleocytosis - Differential ... Cryptococcus, Cocci ... #Pleocytosis #Differential ... Diagnosis #Causes #neurology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Decreased renal potassium ... Drugs Increased potassium ... (oral/iv) • Potassium-rich ... Diagnosis #algorithm #nephrology ... #potassium #differential
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
intracellular, Aerobic - Cocci ... Peripheral smear - Cocci ... TREATMENT: ​• Acute ... Supportive and antibiotics
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Recent IV potassium ... Beta blockers • Antibiotics ... #hyperkalemia #differential ... #high #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... #Hypokalemia #Differential ... Diagnosis #Algorithm #nephrology ... #low #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... #Hypokalemia #Differential ... Algorithm #causes #potassium ... #low #nephrology