16 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... The longer the seizure ... cause aspiration, hyperkalemia ... #Management #Neurology ... Epilepticus #Refractory #Seizures
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... pH > 6.0 - Hypokalemic ... Renal Tubular Acidosis ... Tubulointerstitial injury ... Diagnosis #Algorithm #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... A urine K/Cr ratio ... • Diarrhea A urine ... - Metabolic acidosis ... #nephrology #low
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... exertion/training - Seizures ... Toxins - Drugs - Statins ... Monitor potassium ... causes #treatment #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... starts by measuring ... Renal tubular acidosis ... algorithm #causes #nephrology ... #potassium
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
exertion/training, Seizures ... Drugs (Statins), ... hour with goal urine ... Monitor potassium ... Dialysis for severe hyperkalemia
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... • Recent IV potassium ... - Hyperosmolar states ... - Metabolic acidosis ... #high #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Normal acid-base status ... LiCl use The urine ... Urine chloride is ... of sodium and potassium ... #Algorithm #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... lysis) ± Urine ... Optimize volume status ... #Treatment #potassium ... #nephrology #K
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... • Recent IV potassium ... - Hyperosmolar states ... - Metabolic acidosis ... #high #nephrology