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diagnosis causes nephrology hyperkalemia potassium classification treatment algorithm criticalcare normal overview pharmacology rhabdomyolysis shock summary abg acid acidbase base bloodgas
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
: • Tissue injury ... • Tumor lysis syndrome ... • Metabolic acidosis ... glycosides • High ... Elimination: • AKI
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... , Compartment syndrome ... , Electrical injury ... , Heat stroke, Metabolic ... Dermatomyositis) AKI
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... infusions) - Metabolic ... acidosis - Hyperkalemia ... Excretion: •
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... infusions) - Metabolic ... acidosis - Hyperkalemia ... Excretion: •
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
(NAGMA) - Differential ... high/normal 3 ... - Diarrhea - High ... #Metabolic #NAGMA ... #Differential
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... AG metabolic acidosis ... AG metabolic acidosis ... D-lactate (short bowel syndrome ... failure (uremia) K
Distal Renal Tubular Acidosis Distal RTA is the true Nephrogenic RTA and can be truly divided into
Distal Renal Tubular ... Acidosis Distal ... diseases(Sjogren's Syndrome ... distal RTA - A high ... RTA #diagnosis #differential
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... urinary losses: • High ... Pressure: - Metabolic ... acidosis: Proximal ... diagnosis #Algorithm #differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Heat stroke - Metabolic ... declines > ALT) • AKI ... + myoglobin AKI
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
trial • Minimal K ... development of metabolic ... Saline Causes AKI ... densa receives high ... volume and sodium excretion
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