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diagnosis nephrology potassium hyperkalemia algorithm low acid acidbase aniongap base bloodgas crrt disorders gas interpretation k management managment modalities modes
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
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... - Differential ... lysis syndrome • Metabolic ... acidosis • Succinylcholine ... glycosides • High
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 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
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 - 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
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
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
(AIEOU): • A: Acidosis ... usually severe metabolic ... derangements (hyperkalemia ... Overload (pulmonary edema ... High clearance achieved
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