23 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... • Metabolic acidosis ... • Metabolic acidosis ... Syndrome • HTN, High ... Algorithm #causes #potassium
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
anion-gap metabolic acidosis ... Pulmonary edema, Shock ... Respiratory Alkalosis, High ... Lactate, Low Potassium ... diagnosis #management #Treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High ... Injury Low CO / High ... Treatment Goals ... #Differential #
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... - Metabolic acidosis ... Hypoaldosteronism • Acquired ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... - Metabolic acidosis ... Hypoaldosteronism • Acquired ... #high #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Causes of High-anion ... Gap Acidosis: ... Potassium-sparing ... #differential #
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
to diarrhea, a high ... Urine chloride is high ... , a high urine chloride ... of sodium and potassium ... Algorithm #nephrology #differential
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
bicarbonate if acidosis ... Dialysis Serum potassium ... #hyperkalemia #potassium ... #high #diagnosis ... management #algorithm #treatment
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
hypotension is treatment ... non-responders: - acidosis ... - 2nd cause shock ... #Vasopressors #Differential
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... urinary losses: • High ... - Metabolic acidosis ... diagnosis #Algorithm #differential ... #potassium #nephrology