43 results
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
differentiate between pre-renal ... and intrinsic renal ... performance for diagnosing ... AcuteKidneyInjury #Nephrology ... #CriticalCare
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Hyperkalemic Distal Renal ... Failure to acidify urine ... collecting duct due ... #Hyperkalemic #Diagnosis ... #Management #Nephrology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... much easier to diagnosis ... with direct urine ... pH <5.5 - Dr ... #Management #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Fluids Shift potassium ... (if preserved renal ... Hemodialysis By Dr ... #Hyperkalemia #management ... #potassium #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... Monitoring for extra-renal ... ascorbic acid Dr ... #Pediatrics #nephrology
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... - Differential Diagnosis ... , Pentamidine Dr ... #Differential #Diagnosis ... #Algorithm #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... - RenalUrine ... NGT tube By Dr ... #Differential #Diagnosis ... #Workup #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... Distal RTA, DKA Dr ... #Hypokalemia #diagnosis ... #nephrology #low
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... loss (Diarrhea) Renal ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia Diagnostic Algorithm
To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Hypokalemia Diagnostic ... perform 24-hour urine ... ratio on a spot urine ... values suggest renal ... Algorithm #TTKG #nephrology