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diagnosis differential causes nephrology management hematology hypokalemia pathophysiology pharmacology product reactions anesthesia anesthesiology bradycardia checklist classification effects intraoperative lactated low
Hyperkalemia Differential Diagnosis Algorithm R/O Pseudo-hyperkalemia: • Possible Lab error! Alwavs Repeat Blood sample! • Leukocytosis, Thrombocytosis:
Diagnosis Algorithm ... Alwavs Repeat Blood ... while drawing blood ... ) • RBC Hemolysis ... #causes #potassium
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... diet • Blood ... • Tumor lysis/hemolysis ... Normal, Renin High
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
venipuncture • Hemolysis ... phlebotomy High ... Crush injury • Blood ... : • Digoxin ... Blood transfusion
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
venipuncture • Hemolysis ... phlebotomy High ... Crush injury • Blood ... : • Digoxin ... Blood transfusion
Digoxin Pharmacology and Pathophysiology 1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
- Hyperkalemia ( ... high potassium levels ... , in states of hypokalemia ... (or low potassium ... Pathophysiology #cardiology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... urinary losses: • High ... Blood Pressure: ... • Low/Normal Blood
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... with hypokalemia ... effective arterial blood ... #urine #potassium ... #differential #algorithm
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Causes of Hyperkalemia ... Crush injury, Hemolysis ... : Blood draw error ... Diagnosis #Causes #potassium ... #high
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Saline (NS) - Comparison ... 130 mEq/L • Potassium ... Is Dangerous in Hyperkalemia ... densa receives high ... coagulation and hemostasis
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
pulse, rhythm and blood ... remifentanil, digoxin ... Also consider: high ... myocardial infarction, hyperkalaemia ... Management #Workup #Cardiology
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