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diagnosis treatment nephrology causes differential medications product reactions rhabdomyolysis checklist chronic criticalcare crrt diuresis diuretics electrophoresis excretion fatigue high hypokalemia
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
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... , K+ >6.5 Or renal ... treatment Remove potassium ... #Management
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
, changes on ECG ... Figure 3 is an algorithm ... for the management ... , and Table 3 summarizes ... #Management #Medications
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 Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Herpes, Coxsackie, etc ... UA positive for blood ... Monitor potassium ... per day until stable
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Metabolic • Renal ... Liver Failure • Hypercalcemia ... Neoplastic / Hematologic ... Chronic Obstructive Pulmonary ... • Drug Abuse (e.g
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Herpes, Coxsackie etc ... Monitor potassium ... per day until stable ... Dialysis for severe hyperkalemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Excretion: - Renal ... heparinized tube) • ECG ... 15 suggests ↓ renal ... Elimination (see Table ... #Treatment #potassium
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
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
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... Blood drawn from ... site/line where potassium ... hours) - Increase renal ... #potassium #high
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