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Treatment Checklist for Abdominal Compartment Syndrome

- Dr. Josh Farkas @PulmCrit

#Abdominal #Compartment #Syndrome #Checklist #Treatment #Management #CriticalCare
Treatment Checklist ... Abdominal Compartment Syndrome ... #Compartment #Syndrome ... #Checklist #Treatment ... #Management #CriticalCare
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... FENa) could help differentiate ... AcuteKidneyInjury #Nephrology ... #CriticalCare
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Metabolic Alkalosis - Differential ... hyperaldosteronism • Low Urine ... (late) • High Urine ... Metabolic #Alkalosis #Differential ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Metabolic Alkalosis - Differential ... hyperaldosteronism • Low Urine ... (late) • High Urine ... Metabolic #Alkalosis #Differential ... Diagnosis #Algorithm #Nephrology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... hyperkalemia #kaliuresis #management ... #criticalcare # ... treatment #diuretics ... #diuresis #nephrology
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Color - Differential ... (blue diaper syndrome ... Bag Syndrome - ... discoloration #Differential ... #Diagnosis #nephrology
Abnormally Colored Urine - Differential Diagnosis Framework
Red:
 - Hematuria, Hemoglobinuria, Myoglobinuria
 - Beets, Rhubarb, Blackberries, Artificial
Abnormally Colored Urine ... - Differential ... bag syndrome (chronically ... Discoloration #Differential ... #Diagnosis #nephrology
Urine Specific Gravity - Interpretation
Specific Gravity = Density of urine / Density of water
SG close to
Urine Specific Gravity ... Gravity = Density of urine ... Dehydration • SIADH (syndrome ... Interpretation #diagnosis #differential ... #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Aldosterone: Cushing syndrome ... excess, Liddle syndrome ... , Gitelman syndrome ... #potassium #differential ... algorithm #diagnosis #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
(Goodpasture's syndrome ... Renal #Transplant #differential ... kidney #blood #urine ... #management #treatment ... #nephrology