23 results
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
cell tumor with high ... Serum glucose, Insulin ... Sulfonylurea Misuse • Insulin ... Misuse • Insulin ... Diagnosis #insulinoma #endocrinology
Hyperkalemia Management
Membrane Stabilizers:
 • Calcium gluconate
Shifters:
 • Insulin + glucose
 • Albuterol
Excreters:
 • Furosemide
 • Sodium
gluconate Shifters: • Insulin ... 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 ... Sodium bicarbonate Potassium
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
REBEL Review 71: Treatment ... Saturated Solution of Potassium ... Hydrocortisone #endocrinology ... table #management #treatment
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
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
calcium • IV insulin ... Dialysis Serum potassium ... #hyperkalemia #potassium ... #high #diagnosis ... management #algorithm #treatment
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... cells - Combo of insulin ... reduction • Insulin ... units regular insulin ... Remove potassium
Thyrotoxic Periodic Paralysis - Illness Script
 • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
exercise, fasting, high-carb ... - low TSH with high ... fT4 or high T3 ... • Treatment: Potassium ... hyperthyroidism, Potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... Administration of inulin ... mmol creatinine) High ... Low-normal EABV, High ... hypokalemia #urine #potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Recent IV potassium ... paralysis - Insulin ... diagnosis #causes #potassium ... #high #nephrology