30 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... hypovolemic step 2 ... #kaliuresis #management ... #diuresis #nephrology ... #algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... losses, Diuretic ... failure Hypervolemia ... #Causes #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... • Renal tubular ... acidosis (type 1 of 2) ... Post-hypercapnia • Diuretics ... #causes #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Diuretics (discontinued ... Renal artery stenosis ... #Diagnosis #Causes ... #Workup #Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Alkalosis • ↑ beta-2 ... • Discontinued diuretic ... #nephrology #low
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Extra-renal Losses ... Loop and thiazide diuretics ... #causes #potassium ... #low #nephrology
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... LOSS - FeMg < 2- ... Malabsorption RENAL ... LOSS - FeMg > 2- ... • Hypercalcemia-PTH
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Renal acidosis ... Proximal RTA (type 2) ... 2. ... Potassium-sparing diuretics ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
15 suggests ↓ renal ... only if no clear cause ... Treatments: • Calcium 2- ... 10U reg IV + 1-2 ... Treatment #potassium #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Volume Depleted - 2° ... Low Cl intake, Diuretics ... Expanded - 1° or 2° ... hyperaldosteronism • High PRA: Renal ... #Nephrology #Causes