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diagnosis differential nephrology pharmacology potassium management algorithm high inpatient acute agents aki antihypertensive binders binding bloodpressure ckd comorbidities curves diabetes
Oral Antihypertensive Medications - Selection by Comorbidities Comorbidities: • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
Antihypertensive Medications ... Dissection • CKD, DM ... Antihypertensive #Medications ... #Hypertension # ... #pharmacology #table
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Distributive Shock, HRS, Hypercalcemia ... Compartment Syndrome, Medications ... C3/C4, Other • ATN ... , DM) SCVMC Internal ... Diagnosis #nephrology #causes
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
with previously stable ... disorders including hypokalemia ... Hyperthyroidism, Hypercalcemia ... most pts have HTN ... Differential #Diagnosis #indications
Intern Pocket Cards - Inpatient Blood Pressure Management Guide ß-blockers: • Metoprolol, Carvedilol, Labetalol • Bradycardia, heart
Valsartan • AKI, hyperkalemia ... pocketcardset #HTN ... #hypertension # ... BloodPressure #medications ... #pharmacology #table
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... constipation, diarrhea, nausea ... ); nausea, vomiting ... #medications #pharmacology ... #table #comparison
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Poorly controlled DM ... transfusion • HTN ... Medications 2. ... differential #diagnosis #causes
Diabetes Mellitus Type 2 Inpatient Medication Guide Classes: Biguanide, Sulfonylurea, TZD, DPP-4 inhibitor, GLP-1 receptor agonist, SGLT2i,
Guide Classes ... Diabetes #Mellitus #DM2 ... #Inpatient #Medications ... #pharmacology #comparison ... #table #endocrinology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Poorly controlled DM ... transfusion • HTN ... Medications 2. ... differential #diagnosis #causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... only if no clear cause ... Elimination (see Table ... STOP offending medications ... ) - caution in HTN
Algorithm for Diagnosis and Management of Resistant Hypertension in CKD Pseudoresistant Hypertension - Reduce barriers to adherence:
Use once-daily medications ... Discontinue BP-raising medications ... Consider other causes ... of 2° HTN eGFR ... 30 mL/min/1.73 m2
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