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management diagnosis differential nephrology potassium causes pharmacology cardiology medications clinical comparison criticalcare addiction buprenorphine decisionaid doac foamed hematology hyponatremia oncology
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... renal potassium excretion ... Normal, Renin High ... #Diagnosis #algorithm
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
and sodium • Dosing ... binds magnesium • Dosing ... and calcium • Dosing ... patients sensitive to high ... #pharmacology #table
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Algorithm • Treat ... • Reconsider treatment ... + Shift 3) K+ Excretion ... #treatment #potassium ... #high
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Clenching of fist during ... phlebotomy High ... Impaired Renal Excretion ... causes #potassium #high
Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Differential Diagnosis Algorithm ... Primary - Under-excretion ... Drug-induced • High ... Secondary - Under-excretion ... Sarcoidosis • Hypercalcemia
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... deficiency, Salt-losing ... antidiuretic hormone secretion ... Hypervolemia, ... renal failure Hypervolemia
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Clenching of fist during ... phlebotomy High ... Impaired Renal Excretion ... causes #potassium #high
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... • ↓ Renal K+ Excretion ... suggests ↓ renal excretion ... Elimination (see Table ... Redistribution Treatments
Orthostatic Hypotension Management Algorithm • Hypovolemic? Yes → Resuscitate • Volume Overloaded? No → Fludrocortisone
Hypotension Management Algorithm ... sodium and water excretion ... during the night ... tension of the thigh ... #treatment
Types of Renal Calculi Calcium oxalate - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
urinary calcium excretion ... hypercalciuria, Hypercalcemia ... urinary calcium excretion ... Mycoplasma infections, High ... - Antiviral treatment
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