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diagnosis nephrology treatment causes differential hypokalemia indications product reactions rhabdomyolysis algorithm checklist criticalcare crrt diuresis electrophoresis excretion gitelman high hypertension
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... (if preserved renal ... function) - Loop diuretic ... peaks 1-2h) • Blood ... #management #potassium
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
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
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
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Herpes, Coxsackie etc ... Monitor potassium ... Loop diuretics for ... Dialysis for severe hyperkalemia
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 ... Loop diuretics for
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... weakness, K+ >6.5 Or renal ... ) ECG changes ... treatment Remove potassium ... Treatment #Algorithm #Management
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 ... excretion via a loop diuretic
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
derangements (hyperkalemia ... , hypercalcemia, ... Fluid Overload (pulmonary ... refractory to diuretics ... #Therapy #RRT #managment
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
classes, including a diuretic ... with previously stable ... disorders including hypokalemia ... Hyperthyroidism, Hypercalcemia ... Renal parenchymal
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