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diagnosis differential nephrology potassium hypokalemia management anesthesiology checklist hypercalcemia intraoperative treatment workup acidosis associated crisis cyanosis elevation emergencies endocrinology hemeonc
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... High Aldosterone: Malignant ... • HTN Absent: Loop ... and thiazide diuretics ... #causes #potassium
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... tubular transport • Diuretics ... (loop/thiazide) ... Aldosterone • Malignant ... #Causes
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
for malignancy-associated ... Dialysis with low ... Volume Overload → Loop ... diuretic IV Bisphosphonate ... or Denosumab #malignancy
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... Clinicians should also look ... Post-hypercapnia • Diuretics ... Hyperaldosteronism: malignant ... differential #diagnosis #algorithm
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... Hyperaldosteronism: malignant ... >20 mEq/24 h - Diuretics ... Differential #Diagnosis #Algorithm ... #nephrology #causes
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
for malignancy-associated ... : Dalysis with low ... Volume overload: Loop ... diuretic • Lymphoma ... #malignancy
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... ↑ Aldosterone: Malignant ... consumption • Low ... Alkalosis: Emesis, Diuretics
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... other, more common causes ... possible fresh gas flow ... forced alkaline diuresis ... #Malignant #Hyperthermia
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Increase fresh gas flow ... • If SpO2 low ... bronchodilator; PEEP; diuretic ... Sepsis → 3-14 o Malignant ... Management #Workup #anesthesia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... source of energy, conversion ... drugs, seizures, malignancy ... LV failure - Low ... #typea #typeb #classification
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