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Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
acidosis) • Low ... Use gtt, NOT hypertonic ... Slow - don’t delay ... Management #Treatment #potassium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Hyponatremia Algorithm Hypertonic ... Urologic irrigants Hypotonic ... Primary polydipsia, Low
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
water Extrarenal hypotonic ... salt intake: • Hypertonic
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
radiocontrast, hypertonic ... Drug-associated: heparin, low-molecular-weight ... Diagnosis #High #Potassium
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
Syndrome (ODS) Acute Hypotonic ... mL boluses of hypertonic ... time, followed by hypertonic ... Otherwise, hypertonic ... normalization Chronic Hypotonic
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline The goal of acute management is to
Algorithm with Hypertonic ... probably not the low ... Algorithm #treatment #Hypertonic
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach to Hypotonic ... have a case of hypotonic ... can be high or low ... Primary polydipsia), Low ... #Physiologic #Hypotonic
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Ureterosigmoidoscopy • HTN, Low ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
vomiting) • Low ... Algorithm #nephrology #low ... #potassium
Glitter Cells on Urine Microscopy Glitter cells in the urine are viable and pale staining WBCs with
depends on the low ... viscosity as occurs in hypotonic
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