12 results
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... creatinine) High ... arterial blood volume ... hypokalemia #urine #potassium ... algorithm #diagnosis #nephrology
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... patients sensitive to high ... of aspiration #Potassium ... #pharmacology #table ... #comparison #binders
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
depletion • Consider K+ ... Dialysis Serum potassium ... #hyperkalemia #potassium ... #high #diagnosis ... management #algorithm #treatment
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Potassium Binders ... cyclosilicate #Potassium ... #Hyperkalemia #treatment ... #pharmacology #table ... #comparison #nephrology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... depletion • Consider K+ ... management #algorithm #treatment ... #potassium #high ... #nephrology #KDIGO
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
, female of high ... : 33% • Treatment ... : No • Treatment ... hematology #diagnosis #comparison ... #table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Effective arterial volume ... Elimination (see Table ... ) • Optimize volume ... Redistribution Treatments ... #potassium #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K ... poor response to volume ... diuresis can be high ... differential #diagnosis #table ... #sodium #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline (NS) - Comparison ... 130 mEq/L • Potassium ... trial • Minimal K ... densa receives high ... Normal #Saline #NS #comparison
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
cerebral blood volume ... lidocaine, +/- pre-treatment ... Octaplex + Vitamin K ... reduces CPP) • High ... High ICP: 20.