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diagnosis differential causes replacement therapy treatment continuous gitelman hypotonic indications k low managment modalities modes pathophysiology physiologic potassium rhabdomyolysis rrt
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Hypernatremia: ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #Algorithm #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... volume loss - diuretics ... failure #Hypernatremia ... #Algorithm #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... losses, Diuretic ... Ketonuria, Osmotic diuresis ... Cardiac failure #Hyponatremia ... #Causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... Sodium loss (diuretics ... (AKI, Post-AKI diuresis ... #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... : • Hypovolemia ... : Diuretics/Nephropathies ... diagnosis #causes #nephrology ... #sodium #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... G-K), K-sparing diuretics ... (IV loop diuretic ... - IV loop diuretic ... Treatment #potassium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
with thiazide diuretic ... • Unexplained hypokalemia ... Surreptitious diuretic ... Syndrome #diagnosis #nephrology ... #Hypokalemia
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
Continuous Renal ... by AEIOU: A: acidosis ... electrolytes (essentially hyperkalemia ... volume overload; diuretic ... #Nephrology #Management
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
• LDH ↑ • Hyperkalemia ... Hyperuricemia • Hyponatremia ... Loop diuretics for ... Dialysis for severe hyperkalemia ... causes #treatment #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
(AIEOU): • A: Acidosis ... derangements (hyperkalemia ... refractory to diuretics ... altered mental status ... #managment #nephrology
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