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Hyperkalemia Differential Diagnosis Algorithm R/O Pseudo-hyperkalemia: • Possible Lab error! Alwavs Repeat Blood sample! • Leukocytosis, Thrombocytosis:
Hyperkalemia Differential ... analyzed, releasing K+ ... to excrete more K+ ... reduce plasma [K+ ... #Hyperkalemia #Differential
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Hypokalemia - Differential ... Stimulation of Na/K-ATPase ... which imports K+ ... #Hypokalemia #Differential
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
HyperKalemia - Differential ... extracellular K+ ... acute iatrogenic K+ ... injection Decreased K+ ... #HyperKalemia #Differential
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Tubular Acidosis - Differential ... Decreased Serum K, ... Decreased Serum K, ... Increased Serum K ... Tubular #Acidosis #Differential
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Hypokalemia - Differential ... measuring urinary K ... gastrointestinal K ... loss • Renal K ... #hypokalemia #differential
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • Digoxin • K ... colonic necrosis • K ... K supplement 3 ... #hyperkalemia #differential
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
the urine Urine K+ ... (<2.5 mEq K+/mmol ... Diarrhea Urine K+ ... (>2.5 mEq K+/mmol ... urine #potassium #differential
Urine Anion Gap in NAGMA NA + K - Cl = surrogate for Urine NH4+ NH4+ is excreted
in NAGMA NA + K ... Type 4 RTA (nb ↑K) ... NAGMA #diagnosis #differential
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
with IV potassium(K) ... differentiating kidney K ... A urine K/Cr ratio ... Diarrhea A urine K/ ... diagnosis #Algorithm #differential
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • Digoxin • K ... colonic necrosis • K ... K supplement 3 ... #hyperkalemia #differential
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