43 results
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... TO PO • USE HIGH ... , address diuretic ... ) to normalize Potassium ... especially in high
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... the basis of the potassium-to-creatinine ... Urine Cl - Loop diuretics ... , Thiazide diuretics ... #differential #algorithm
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Syndrome • HTN, High ... Loop and thiazide diuretics ... Differential #Diagnosis #Algorithm ... #causes #potassium
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Differential Diagnosis Algorithm ... Hypertensive: • High ... >20 mEq/24 h - Diuretics ... Differential #Diagnosis #Algorithm ... #causes #low #potassium
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic algorithm ... Decreased renal potassium ... Normal, Renin High ... hypoplasia Aldosterone high ... Hyperkalemia #Diagnosis #algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Low Cl intake, Diuretics ... (late) • High ... Urine Cl-: Diuretics ... hyperaldosteronism • High
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... urinary losses: • High ... Alkalosis: Emesis, Diuretics ... #differential #potassium
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Urinary Losses - Diuretics ... Diagnosis #Low #Potassium ... #Table #Classification
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Low Cl intake, Diuretics ... (late) • High ... Urine Cl-: Diuretics ... hyperaldosteronism • High
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... • Discontinued diuretic ... Differential #Diagnosis #Algorithm ... nephrology #low #potassium