24 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... #hyperkalemia ... #criticalcare #treatment ... #diuretics #diuresis ... #nephrology #algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Treatment: ... Treatment of underlying ... per day until stable ... Loop diuretics for ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , rhabdo/crush injury ... Elimination (see Table ... Redistribution Treatments ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
syndrome, Electrical injury ... Treatment: 1 ... per day until stable ... Loop diuretics for ... Dialysis for severe hyperkalemia
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... , Osmotic diuresis ... or induced) #Hypokalemia ... differential #diagnosis #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... function) - Loop diuretic ... LouLectures #Hyperkalemia ... management #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... Hyponatremia • Hypercalcemia ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology ... #Medications #Table
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
a.k.a. osmotic diuresis ... : Conventional diuretics ... diseases, Hypoxic injury ... Hereditary, Lithium, Hypercalcemia ... Diagnosis #Causes #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... • K sparing diuretics ... potassium #high #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Renal Sodium loss (diuretics ... (AKI, Post-AKI diuresis ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table ... #sodium #nephrology