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diagnosis differential causes hyperkalemia algorithm crrt replacement therapy continuous diuretics drugs excretion hypomagnesemia low managment modalities modes overview pharmacology table
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
• Refeeding syndrome ... Thyrotoxicosis Medications ... vomiting) • Low K ... • Discontinued diuretic ... #low #potassium
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
- Insulin (high ... dose) with glucose ... Fanconi syndrome ... hypomagnesemia #Medications ... #Causes #hypomg
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... sparing diuretics ... - Tumor lysis syndrome ... Medications 2. ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... sparing diuretics ... - Tumor lysis syndrome ... Medications 2. ... #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... , K-sparing diuretics ... STOP offending medications ... Transient, repeat dose ... #nephrology #K
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
Emergent dialysis indications ... volume overload; diuretic ... Specific Indications ... #Overview #Indications ... #Nephrology #Management
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal ... irrigation • Management ... ; High-Ceiling Diuretics ... #Diuresis #Nephrology ... #Pharmacology #Medications
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
urine Na/Cl < 0.7, high ... Tubulopathy: urine K/ ... severe to the dose ... correcting serum potassium ... Other medications
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
Pager Summary Indications ... derangements (hyperkalemia ... refractory to diuretics ... High clearance achieved ... #managment #nephrology
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