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nephrology diagnosis potassium algorithm hypokalemia low renal acid acidbase aniongap base bloodgas crrt disorders diuresis diuretics excretion gas interpretation k
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... ABG And BMP Normal ... AG metabolic acidosis ... AG metabolic acidosis ... #ABG #bloodgas
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... acidosis: Gl tract ... acidosis: Proximal ... Syndrome • HTN, High ... Diagnosis #Algorithm #causes
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... - Differential ... lysis syndrome • Metabolic ... acidosis • Succinylcholine ... glycosides • High
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... Acidosis Causes ... of High-anion Gap ... #Acidosis #differential ... #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
(NAGMA) - Differential ... NAGMA - Chem, ABG ... normal Type 4: Hyperkalemic ... #Metabolic #NAGMA ... #Differential
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... transfusion • HTN and edema ... infusions) - Metabolic ... acidosis - Hyperkalemia ... diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... transfusion • HTN and edema ... infusions) - Metabolic ... acidosis - Hyperkalemia ... diagnosis #causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... urinary losses: • High ... acidosis: Proximal ... diagnosis #Algorithm #differential ... #potassium #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
(Assess GFR), ±VBG ... only if no clear cause ... Elimination (see Table ... caution in HTN & edema ... Treatment #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
resistance • Metabolic ... Loop Diuretics; High-Ceiling ... Hyponatremia • Hypercalcemia ... Kidney stones caused ... #Medications #Table
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