10 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... of sodium and potassium ... #urine #Algorithm ... #nephrology #differential
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... • Fatigue Chloride ... Cl⁻ with other components ... Pathophysiology #Nephrology ... #Chloride
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Low intake • Metabolic ... Renal Losses: • Metabolic ... #causes #potassium ... #low #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... thiazide-sensitive site) Metabolic ... other • Severe potassium ... after fasting #Metabolic ... Diagnosis #Causes #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... Pressure: - Metabolic ... #differential #potassium ... #nephrology #low
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Non-anion Gap Metabolic ... Potassium-sparing ... loads (ammonium chloride ... aniongap #NonGap #Metabolic ... diagnosis #causes #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
hypomagnesemia • Metabolic ... Hypokalemia (renal potassium ... Hypochloremic metabolic ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... specific questions to ask ... ADLs - Highest metabolic ... physical exam - Key components ... event, follow ACC algorithm
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
Starvation Ketosis (SK ... The metabolism of ... In both SK and AK ... provided the starting potassium ... #differential #algorithm
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
Trans Tubular Potassium ... (HCO3d-HCO3m) Metabolic ... HCO3)+8 (+-2)| Metabolic ... 70 mmHg on 100% mask ... -2min Calcium chloride