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Hyperkalemia Hypokalemia - Differential Diagnosis and Management Algorithm

Dr Pravin Patel

#Hypokalemia #Hyperkalemia #potassium #differential #diagnosis #management
- Differential ... Diagnosis and Management ... Algorithm Dr ... potassium #differential ... #diagnosis #management
Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Diagnosis Algorithm ... using Urine Potassium ... #Differential # ... Diagnosis #Algorithm
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... - Differential ... Diagnosis Algorithm ... Excretion (IV potassium ... #Diagnosis #Algorithm
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... and sodium • Dosing ... of aspiration #Potassium ... #medications #pharmacology ... #table #comparison
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... • Type 1 #Hyperkalemia ... #Diagnosis #algorithm ... #differential
Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Hyperkalemia Differential ... Diagnosis Algorithm ... #Differential # ... Diagnosis #Algorithm ... #causes #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Causes of Hypokalemia ... - Differential ... Diagnosis Algorithm ... Diagnosis #Algorithm ... #causes #potassium
Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
 • Fibre
 • Calories
 • Fluid
 • Exercise
 • Psychosocial
Medications
 •
Constipation - Differential ... Diagnosis Algorithm ... Aluminum, Calcium, Potassium ... • Hypercalcemia ... #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... #Differential # ... Diagnosis #Algorithm ... nephrology #low #potassium
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... #differential # ... diagnosis #pathophysiology ... #pharmacology # ... potassium #medications