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diagnosis differential nephrology hypokalemia pharmacology alkalosis binders binding chloride comatose effects hyperkalemia hyponatremia hypotonic lactated lr medications metabolic ns physicalexam
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... Hyperplasia • Normal ... Al, Normal R - ... #nephrology #causes ... #low #potassium
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses: • Normal ... Syndrome • HTN, High ... #causes #potassium ... #low #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... complications such as ... urinary losses: • High ... /Normal Blood Pressure ... #nephrology #low
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... increase dose as ... patients sensitive to high ... #pharmacology #table ... #comparison #binders
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... /low blood pressure ... the indicated causes ... of sodium and potassium ... Chloride #urine #Algorithm
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
NS) - Comparison ... 130 mEq/L • Potassium ... shift • Saline Causes ... densa receives high ... • Saline May Cause
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... diuresis can be high ... differential #diagnosis #table
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Anisocoria + Coma → high ... pontine lesion • Roving ... /flaccid limbs vs ... Casey Albin MD @ ... #PhysicalExam #neurology
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