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diagnosis nephrology hyponatremia low differential hypokalemia management acei arb gitelman hyperkalemia hypotonic initiation kdigo monitoring pathophysiology physiologic syndrome table treatment
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 3) Urine Sodium ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypothyroidism, Adrenal ... Cerebral salt wasting ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... differentiating kidney K wasting ... syndrome, Congenital adrenal ... #differential #potassium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Sodium loss (diuretics ... Hypothyroidism, Adrenal ... Cerebral Salt Wasting ... diagnosis #table #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Na <20: Extra-renal ... Urine Na >30: Renal ... Cerebral salt wasting ... #Hyponatremia #algorithm ... #diagnosis #sodium
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Hyperkalemia Treatment Algorithm ... weakness, K+ >6.5 Or renal ... nebulized • Sodium ... treatment Remove potassium ... Exchange resins - Sodium
Hypokalemia Diagnostic Algorithm To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Hypokalemia Diagnostic Algorithm ... To assess potassium ... values suggest renal ... K wasting. ... Hypokalemia #Diagnosis #Algorithm
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
drugs - Moderate potassium ... Consider: diuretics, sodium ... ) - Consider renal ... Initiation #monitoring #algorithm
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... • Hypokalemia (renal ... potassium wasting ... Supplement: • Potassium
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