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diagnosis differential nephrology treatment causes hematology hypokalemia reactions rhabdomyolysis alkaliintake alkalosis antibiotics barttersyndrome bloodgasanalysis chloride comparison criticalcare distantdiuretics effects endocrinecause
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... A urine K/Cr ratio ... suggests extra-renal ... • Diarrhea A urine
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low blood ... Urine chloride is ... of sodium and potassium ... #Algorithm #nephrology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... flank pain, dark urine ... , DIC, hypoTN, renal ... Blood products contain ... potassium from
Blood gas analysis Metabolic alkalosis Measured urine CI < 10 mEq/L Saline responsive > 10 mEg/L Not saline responsive - Vomiting or NG
Blood gas analysis ... Metabolic alkalosis ... Measured urine ... cause of H+ loss Renal ... Gitelman syndrome - Potassium
“Step by Step” – the new kid on the block – aims to risk stratify this
group as well as predict ... components of the algorithm ... >21 days - No leukocytes ... in urine - Procalcitonin ... #Diagnosis #Management
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... , Heat stroke, Metabolic ... hour with goal urine ... Monitor potassium ... Differential #Diagnosis #Management
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... development of metabolic ... Hyperchloremia nonanion gap metabolic ... blood flow and ... Decreased GFR, urine
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Heat stroke - Metabolic ... Weakness - Dark urine ... UA positive for blood ... Monitor potassium
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... , DIC, hypoTN, renal ... Blood products contain ... potassium from ... #diagnosis #management
Algorithm Workup and Management of Suspected Uterine Infection • Physical Exam, including pelvic exam • Vitals,
Algorithm Workup ... and Management ... , Lactic Acid, Renal ... Ultrasound for retained products ... • Cervical and blood
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