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nephrology diagnosis algorithm potassium acidbase chloride hyperkalemia hypokalemia low renal acid bloodgas crrt disorders diuresis diuretics excretion gas hypochloremia interpretation
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Metabolic alkalosis ... AG metabolic acidosis ... AG metabolic acidosis ... Metabolic alkalosis ... #VBG #differential
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... poisoning Normal acid-base ... the indicated causes ... acidosis, a high ... #differential #
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... • Normal Acid-Base ... acidosis: Gl tract ... Syndrome • HTN, High ... Diagnosis #Algorithm #causes
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Hypochloremia - Differential ... alkalosis - Fistulas ... secretion • Acid-base ... metabolic acidosis ... metabolic alkalosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
urinary losses: • High ... Alkalosis: Emesis ... acidosis: Proximal ... diagnosis #Algorithm #differential ... #potassium #nephrology
Differential Diagnosis of Respiratory Acid-Base Disorders Alkalosis A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Respiratory Acid-Base ... tissue hypoxia: High ... Pneumonia, pulmonary edema ... #alkalosis #differential ... #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
transfusion • HTN and edema ... infusions) - Metabolic ... acidosis - Hyperkalemia ... #diagnosis #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
transfusion • HTN and edema ... infusions) - Metabolic ... acidosis - Hyperkalemia ... #diagnosis #causes ... #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
resistance • Metabolic ... alkalosis • Familial ... Loop Diuretics; High-Ceiling ... Kidney stones caused ... #Medications #Table
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
(AIEOU): • A: Acidosis ... usually severe metabolic ... Overload (pulmonary edema ... Dialyzer is rigid case ... High clearance achieved
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