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diagnosis differential management hematology reactions chloride comparison effects gitelman hyponatremia lr normal ns pathophysiology pharmacology physiologic ringers syndrome table transfusion
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... /L of sodium lactate ... densa receives high ... blood flow and ... Decreased GFR, urine
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... suggests extra-renal ... urinary losses: • High ... Alkalosis: Emesis ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... /low blood pressure ... the indicated causes ... and potassium acid ... #Algorithm #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 ... Present (Uosm ≥100): Hypovolemia ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... or low blood pressure ... (renal potassium ... (spot urine, calcium-creatinine ... Syndrome #diagnosis #nephrology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... , DIC, hypoTN, renal ... High mortality. ... Blood products contain ... potassium from
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... , DIC, hypoTN, renal ... High mortality. ... Blood products contain ... potassium from
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