32 results
diagnosis differential causes management symptoms algorithm nephrology treatment high hypokalemia pathophysiology low adrenal classification diabetes workup 21hydroxylasedeficiency 21ohd acute addisons
Hyperkalemia Management Membrane Stabilizers: • Calcium gluconate Shifters: • Insulin + glucose • Albuterol Excreters: • Furosemide • Sodium
Hyperkalemia Management ... gluconate Shifters: • Insulin ... Medicine @ucsdim #Hyperkalemia ... Management #Treatment #Potassium
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... Fluids Shift potassium ... intracellularly: • Insulin ... LouLectures #Hyperkalemia
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... K+ into cells: Insulin ... Refeeding Syndrome #Hypokalemia ... Algorithm #causes #potassium
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... Redistribution - Insulin ... DrEricStrong #Hypokalemia ... Diagnosis #Low #Potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Recent IV potassium ... paralysis - Insulin ... diagnosis #causes #potassium
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... calcium • IV insulin ... Dialysis Serum potassium ... , asystole #hyperkalemia ... #potassium #high
Sulfonylureas - Pharmacology Summary Mechanisms of Action: Binds to the ATP-sensitive potassium channel in pancreatic beta cells,
ATP-sensitive potassium ... cells, triggering insulin ... DM2 #diabetes #endocrinology
Hypomagnesemia (Serum level < 1.7 mg/dL) Neuromuscular manifestations • Tremor, tetany, seizures • Weakness
dysrhythmias Hypokalemia ... • Renal potassium ... Hypomagnesemia #Signs
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Recent IV potassium ... paralysis - Insulin ... diagnosis #causes #potassium
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... reduction • Insulin ... units regular insulin ... treatment Remove potassium ... not quickly) #Hyperkalemia
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