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nephrology hyperkalemia diagnosis pharmacology addiction binders buprenorphine causes decisionaid differential diuresis diuretics excretion k methadone methotrexate opioid pain rhabdomyolysis toxicity
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... concentration: • IV Fluids ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Potassium Binders ... for Management ... #Hyperkalemia #treatment ... #pharmacology #table ... #comparison #nephrology
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table Some patients may decline buprenorphine
Inpatient Management ... Table Some patients ... interested in medication ... assisted treatment ... shown to have very high
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... Elimination (see Table ... STOP offending medications ... #Treatment #potassium ... #nephrology #K
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Monitor potassium ... per day until stable ... Differential #Diagnosis #Management ... #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Loop Diuretics; High-Ceiling ... Tolvaptan) • Treatment ... #Pharmacology #Medications ... #Table
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... hours) - Increase renal ... diuretic (give with fluids ... #treatment #potassium ... #high
Methotrexate Renal Toxicity Prevention: • Alkalinize the urine, keep urine ph >7 • Start pre-treatment 12
Methotrexate Renal ... bicarbonate based fluids ... clearance but high ... #Toxicity #management ... #treatment #nephrology
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