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diagnosis nephrology differential management pharmacology potassium treatment binders binding comparison dosing hyperphosphatemia hypertension hypotonic indications k low maximum medications phosphatebinders
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
10 g QD (adjust dose ... Usual maintenance dose ... g QD; increase dose ... ); nausea, vomiting ... #pharmacology #table
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... treat underlying cause ... always exclude: CKD ... #diagnosis #nephrology ... #sodium
Phosphate binders - quick reference chart of maximum daily dose. Most patients with CKD will require
patients with CKD ... since they are not able ... restricted due to hypercalcemia ... Purposes Only* #CKD ... #Dosing #Pharmacology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... deficiency, Salt-losing ... renal failure Hypervolemia ... #Causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table ... #sodium #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... polydipsia • Hypervolemia ... #Differential #Algorithm ... #diagnosis #causes ... #nephrology #sodium
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
use of adequate doses ... with previously stable ... heart failure, neurologic ... parenchymal disease: CKD ... Neurologic disorders
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... (Max of 3 doses) ... symptomatic after 3 doses ... #Management #algorithm ... #treatment #sodium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
VBG (acidosis), CK ... only if no clear cause ... Elimination (see Table ... Transient, repeat dose ... Treatment #potassium #nephrology
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