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diagnosis causes algorithm hypokalemia treatment high low hematology product reactions rhabdomyolysis syndrome acidosis aniongap classification crrt diuresis diuretics encephalopathy gitelman
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... potassium excretion ... diet • Blood ... Diagnosis #algorithm #nephrology ... #potassium #differential
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
excretion: • ... (if preserved renal ... peaks 1-2h) • Blood ... #management #potassium ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Clenching of fist during ... Crush injury • Blood ... Excretion: • ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Clenching of fist during ... Crush injury • Blood ... Excretion: • ... #high #nephrology
Causes of Hyperkalemia Pseudohyperkalemia - Tourniquet use - Hemolysis (in vitro) - Leukocytosis - Thrombocytosis Intra- to extracellular
Causes of Hyperkalemia ... Transfusion of aged blood ... excretion - Renal ... potassium excretion ... Causes #diagnosis #differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Hyponatremia - Differential ... deficiency, Salt-losing ... Hypervolemia, ... failure Hypervolemia ... Algorithm #Causes #nephrology
Hypokalemia Diagnostic Algorithm To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Hypokalemia Diagnostic ... excretion: perform ... Check The TTKG: During ... values suggest renal ... Algorithm #TTKG #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Framework and Management ... UA positive for blood ... Monitor potassium ... causes #treatment #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... suggests extra-renal ... losses: • High Blood ... diagnosis #Algorithm #differential ... #potassium #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Renal acidosis ... Potassium-sparing ... ketosis with ketone excretion ... Metabolic #Acidosis #differential ... diagnosis #causes #nephrology
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