32 results
diagnosis management hyperkalemia differential nephrology algorithm causes high pharmacology hypokalemia medications comparison pathophysiology binders low rhabdomyolysis toxicology abscess aspirin binder
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... vomiting) • Low K ... Transcellular shifts ... nephrology #low #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Transcellular Shift ... Stimulation of Na/K-ATPase ... which imports K+ ... Algorithm #causes #potassium
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Consider cause and if treatment ... - 6.4 mmol/L - Treatment ... /L - Emergency treatment ... Gluconate IV Shift ... management #algorithm #treatment
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... • IV Fluids Shift ... potassium intracellularly ... Sodium bicarbonate Potassium
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 ... the urine Urine K+ ... (<2.5 mEq K+/mmol ... creatinine) • Cell shift ... hypokalemia #urine #potassium
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
• Reconsider treatment ... and parenteral potassium ... Intracellular K+ ... Shift 3) K+ Excretion ... #potassium #high
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... cardiac membrane Shift ... as a standalone treatment ... Remove potassium ... #Hyperkalemia #Treatment
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
• Increased EC shift ... of K (Succinylcholine ... #pharmacology #potassium
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
depletion • Consider K+ ... Dialysis Serum potassium ... blocks, QRS axis shift ... #hyperkalemia #potassium ... management #algorithm #treatment
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Digoxin • K ... • Recent IV potassium ... Intracellular Shift ... : • K release ... diagnosis #causes #potassium
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