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diagnosis management nephrology differential potassium cardiology criticalcare foamed syndrome anesthesia anesthesiology bradycardia causes checklist chf clinical crystalloids diuretics excretion heartfailure
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
2 (Na meq/L + K ... • Solute Diuresis ... Hyperglycemia, High ... solute intake (e.g ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, K-sparing diuretics ... reabsorption) Workup ... heparinized tube) • ECG ... Elimination (see Table ... #potassium #nephrology
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... ) ECG changes ... #Treatment #Algorithm
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
; High-Ceiling Diuretics ... Hyponatremia • Hypercalcemia ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology ... #Medications #Table
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... of acute hyperkalemia ... monitor 12-lead ECG ... depletion • Consider K+ ... #high #nephrology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Algorithm • IV ... depletion • Consider K+ ... potassium and ECG ... #potassium #high ... #treatment
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... can be high or ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
• Order a STAT EKG ... stabilize heart if EKG ... excretion via a loop diuretic ... #Management #treatment ... #potassium #high
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... syndrome • Triggers: Diuretics ... values: Elevated K, ... hydration - Hyperkalemia ... unless worrisome EKG
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... classes, including a diuretic ... risk factors (eg ... hypertension (eg ... hypertension (eg
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