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diagnosis differential nephrology algorithm treatment anesthesia anesthesiology hypokalemia workup intraoperative low pharmacology neurology syndrome hematology blood cardiology comparison complications criticalcare
Hyperkalemia Differential Diagnosis Algorithm R/O Pseudo-hyperkalemia: • Possible Lab error! Alwavs Repeat Blood sample! • Leukocytosis, Thrombocytosis:
) • RBC Hemolysis ... TTKG should be high ... Diagnosis #Algorithm #causes ... #potassium #high ... #pathophysiology
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... • Tumor lysis/hemolysis ... Normal, Renin High ... hypoplasia Aldosterone high ... • Type 1 #Hyperkalemia
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
venipuncture • Hemolysis ... phlebotomy High ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... to Hypokalemia ... route = severe hypokalemia ... Critical Care #Checklist ... #Hypokalemia #Management
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
venipuncture • Hemolysis ... phlebotomy High ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... Refeeding Syndrome #Hypokalemia ... Diagnosis #Algorithm #causes ... #potassium #low ... #pathophysiology
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... constipation, diarrhea, nausea ... ); nausea, vomiting ... patients sensitive to high ... of aspiration #Potassium
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... Tissue injury • Hemolysis ... glycosides • High ... MCW_Nephrology #HyperKalemia ... Differential #Diagnosis #Causes
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines. #hyperkalemia #electrolytes #algorithm #emergency #management Notes: (1) Up to
Hyperkalemia management ... algorithm #emergency #management ... ) I've added a potassium ... (4) Due to high ... patients with potassium
Causes of Hyperkalemia Pseudohyperkalemia - Tourniquet use - Hemolysis (in vitro) - Leukocytosis - Thrombocytosis Intra- to extracellular
Causes of Hyperkalemia ... Tourniquet use - Hemolysis ... intoxication - Hyperkalemic ... aged blood - Hemolysis ... #Causes #diagnosis
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