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diagnosis nephrology differential treatment hypokalemia medications pharmacology binders binding comparison diuresis diuretics excretion hyponatremia hypotonic kdigo low pathophysiology physiologic renal
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... ); nausea, vomiting ... patients sensitive to high ... of aspiration #Potassium ... #pharmacology #table
Hyperkalemia Differential Diagnosis Algorithm R/O Pseudo-hyperkalemia: • Possible Lab error! Alwavs Repeat Blood sample! • Leukocytosis, Thrombocytosis:
Diagnosis Algorithm ... TTKG should be high ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #high #pathophysiology
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm • Treat ... the cause & optimize ... #Management #Algorithm ... #high
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... wasting from other causes ... urinary losses: • High ... #diagnosis #Algorithm
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... depletion • Consider K+ ... Dialysis Serum potassium ... #potassium #high
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... Weakness, cramping, nausea ... only if no clear cause ... Elimination (see Table ... #Treatment #potassium
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
for management ... depletion • Consider K+ ... #management #algorithm ... #treatment #potassium ... #high #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... diuresis can be high ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... urine Na/Cl < 0.7, high ... Tubulopathy: urine K/ ... correcting serum potassium ... continued in most cases
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Loop Diuretics; High-Ceiling ... Hyponatremia • Hypercalcemia ... Kidney stones caused ... #Medications #Table
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