13 results
diagnosis differential management hypernatremia sodium treatment workup causes nephron 1 action cerebral comparison correction criticalcare di diuresis goal hormones hyperkalemia
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
hypovolemic step 2 ... fludrocortisone step 3 ... = diuretic cocktail ... #diuresis #nephrology ... #algorithm
Nephron Pathophysiology - Diuretic Sites of Action Diuretics 1) Acetazolamide/canagliflozin 2) Osmotic agents (mannitol, urearetics) 3) Loop agents (eg, furosemide) 4)
Nephron Pathophysiology ... canagliflozin 2) ... , urearetics) 3) ... Adenosine #Nephron #Pathophysiology ... #Action #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Step 2. ... administration Step 3. ... volume loss - diuretics ... Diagnosis #Workup #Algorithm ... #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Neurological event 2) ... from tubules 3) ... Naturiesis → diuresis ... #diagnosis #nephrology ... #hyponatremia #
Hormones Acting on the Nephron - Diuretics and Their Site of Action 1) Acetazolamide 2) Osmotic
Acetazolamide 2) ... e.g. mannitol) 3) ... Loop Diuretics ... spironolactone) #Pathophysiology ... #Nephrology #Nephron
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... renal mechanism 2) ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #nephrology #sodium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... #nephrology #sodium
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... 3cc/kg/h, loop diuretics ... rate #management #nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... history Step #2 ... Uglucose Step #3 ... #Sodium #nephrology
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Diuretics (discontinued ... ) 3. ... secreting tumor 3. ... Causes #Workup #Nephrology
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