8 results
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Ascites Albumin Gradient ... albumin in the fluid ... oncotic pressure Low ... Scott Matherly @liverprof ... #Differential #Analysis
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Hypokalemic periodic paralysis ... vomiting) • Low ... #nephrology #low ... #potassium
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
send for stone analysis ... patients - High Fluid ... protein - Low ... Bone Xrays - Dialysis ... alkalinisation: potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... the basis of the potassium-to-creatinine ... Hypokalemic periodic paralysis ... hypokalemia #urine #potassium ... #differential #algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... arrhythmias and paralysis ... treated with IV potassium ... consumption • Low ... #nephrology #low
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... gastrointestinal osmotic gradient ... and fluid secretion ... Differential #Diagnosis #Algorithm
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
site/line where potassium ... diuretic (give with fluids ... euvolemic) or dialysis ... • SLOW - Bind ... Management #treatment #potassium
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Rapid - Level 1 fluid ... warmer • Slow ... - Hot Line fluid ... epinephrine • Consider paralysis ... management #treatment #algorithm