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diagnosis treatment causes differential nephrology pharmacology potassium product reactions rhabdomyolysis acidosis checklist classification crrt crystalloids diuresis diuretics electrophoresis elevation foamed
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Mechanism Decr Blood ... Inappropriate ADH secretion ... hemorrhage) - Pulmonary ... Suppressed - Advanced renal ... Differential #Diagnosis #Table
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
changes (especially QT ... 3.5 - Severe renal ... monitoring depend on renal ... monitoring depend on renal ... #Management #CriticalCare
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... myopathies - Excess exertion ... Herpes, Coxsackie, etc ... UA positive for blood ... per day until stable
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... myopathies, Excess exertion ... Herpes, Coxsackie etc ... per day until stable ... Dialysis for severe hyperkalemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
K+ Excretion: ... - Renal Failure ... heparinized tube) • ECG ... excretion ... Elimination (see Table
Indications for Serum Protein Electrophoresis (SPEP) • Suspected multiple myeloma, Waldenström's macroglobulinemia, primary amyloidosis, or related
chemotherapy, etc ... suspected • Hypercalcemia ... possible malignancy (e.g ... on peripheral blood ... Electrophoresis #SPEP #Hematology
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
Renal Replacement ... derangements (hyperkalemia ... , hypercalcemia, ... Fluid Overload (pulmonary ... #Therapy #RRT #managment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... Hyponatremia • Hypercalcemia ... Prevention of blood ... #Medications #Table
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
causes Hyperkalemia ... blood flow and ... blood flow with ... #foamed #criticalcare ... #management #diagnosis
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... Blood drawn from ... hours) - Increase renal ... excretion via a ... #Management #treatment
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