14 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... #hyperkalemia ... kaliuresis #management #criticalcare ... #diuresis #nephrology ... #algorithm
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
Antihypertensive Drugs Diuretics ... (ACEI, ARB, diabetes ... ) ACE inhibitors ... failure - Co-medication ... contraindications #table
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
cause aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare # ... Status #Epilepticus ... Refractory #Seizures #Algorithm
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Thyrotoxicosis Medications ... • Discontinued diuretic ... #nephrology #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... : K+, ACEi/ARBs, ... Elimination (see Table ... STOP offending medications ... Treatment #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... Symport (Loop Diuretics ... Hyponatremia • Hypercalcemia ... #Nephrology #Pharmacology ... #Medications #Table
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • K sparing diuretics ... • NSAIDs • ACE ... Medications 2. ... potassium #high #nephrology
Drug Induced Kidney Injury
 • Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
 • Osmotic
: NSAIDS, CNI, ACEI ... IL-2 therapy, Diuretics ... differential #diagnosis #algorithm ... #nephrology #Medications
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... (AKI, Post-AKI diuresis ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table ... #sodium #nephrology
ACEI or ARB Initiation
Hyperkalemia:
 - Review concurrent drugs
 - Moderate potassium Intake
 - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... Reassess concomitant medications ... (e.g., diuretics ... Initiation #monitoring #algorithm