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diagnosis differential hyperkalemia hyponatremia management workup chronic comparison effects hematology hypophosphatemia hypotonic injury intercellularshift kidney kidneyinjury lactated leukostasis lr lysis
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... require urgent nephrology ... common culprits: Hypovolemia ... , Low effective ... #Acute #KidneyInjury
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Pre-Renal: • Hypovolemia ... Differential #Diagnosis #nephrology ... #causes #algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
states such as acute ... Is Dangerous in Hyperkalemia ... shift • Saline Causes ... AKI: - Tubuloglomerular ... • Saline May Cause
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... renal failure • AKI ... IntercellularShift #Nephrology ... #Causes
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Algorithm for Management ... Hyperkalemia Acute ... in 4 mL) - IV sodium ... mL/min) - Oral sodium ... #treatment #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Antacids, Phosphate Binders ... Refeeding Syndrome, Acute ... Hyperparathyroidism, TKI ... #nephrology #phosphorus
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... fever - ACS, AKI ... , acute limb ischemia ... , Elevated Cr, Low ... hydration - Hyperkalemia
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... Hyponatremia: • Hypovolemia ... #diagnosis #causes ... #nephrology #sodium ... #low
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