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diagnosis differential management hypokalemia causes hypernatremia hyponatremia potassium anesthesia anesthesiology cardiology checklist congestive crisis diuretic epilepticus gitelman heartfailure hyperthermia hypotonic
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
(B) Treatment algorithm ... intravenous; SGLT2‐I, sodium–glucose ... linked transporter 2 ... administration, once a day dosing ... #CHF #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Alkalosis • ↑ beta-2 ... B12 injections in ... anemia) • G-CSF ... • Discontinued diuretic ... #nephrology #low
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) ... renal mechanism 2) ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... Step 2. ... volume loss - diuretics ... HYPERVOLEMIC • CHF ... #Algorithm #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... restriction alone in ... can be high or low ... : Hypovolemia, Hypervolemia ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... reabsorption) Workup ... acidosis) • Low ... 10U reg IV + 1-2 ... Treatment #potassium #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... polydipsia • Hypervolemia ... Alcohol MH/CCF ... diagnosis #causes #nephrology ... #sodium #low
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... intake (rare cause in ... Insulin • Beta-2 ... #Nephrology #Differential
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
hypokalemic salt-losing ... syndrome - Mutation in ... (NCCT) present in ... alkalosis • Normal or low ... Syndrome #diagnosis #nephrology
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
common causes (see 2- ... with dantrolene Hyperkalaemia ... hyperventilate, sodium ... forced alkaline diuresis ... Diagnosis #Management #Workup
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