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diagnosis nephrology algorithm hyperkalemia high hypokalemia management treatment alkalosis aspirin chloride comparison effects intercellularshift lactated lr normal ns pharmacology ringers
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... acidosis: Gl tract ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
consumption • Low ... acidosis: Proximal ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
no respiratory cause ... Diaphoresis, Pulmonary edema ... High Lactate, Low ... Potassium, Low ... 4.5 mmol/L 4) K
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
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... the indicated causes ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... trial • Minimal K ... development of metabolic ... shift • Saline Causes ... • Saline May Cause
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Elimination (see Table ... ) • Low K diet ... caution in HTN & edema ... Management #Treatment #potassium ... #nephrology #K
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... , TTKG, distal flow ... Non-Anion Gap Metabolic ... Acidosis • Hyperosmolarity ... Decreased Na+-K+
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