35 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... fludrocortisone step 3 = diuretic ... determine response to diuretic ... #hyperkalemia ... #diuresis #nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... (treatment of diabetic ... diuretic use), ... mimics thiazide diuretic ... #diagnosis #nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... abnormalities - Hypercalcemia ... - Uncontrolled diabetes ... Low #Magnesium #Table ... Classification #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Clinicians should also look ... Ureterosigmoidostomy, Diabetic ... Post-hypercapnia • Diuretics ... #causes #nephrology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Diagnosis Renal Causes ... with secondary, hypocalcemia ... pentamidine), Hypercalcemia ... renal transplant, Diuretic ... #nephrology #magnesium
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure → Dialysis with low Ca++ bath
Aggressive IV hydration
malignancy-associated hypercalcemia ... Hypercalcemia - ... Volume Overload → Loop ... diuretic IV Bisphosphonate ... malignancy #associated #hypercalcemia
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Ketoacidosis: Diabetic ... Hyperkalemia ... Drug-induced hyperkalemia ... Potassium-sparing diuretics ... #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... renal function) - Loop ... diuretic (often ... LouLectures #Hyperkalemia ... management #potassium #nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Acute and Chronic Hyperkalemia ... Acute Hyperkalemia ... binders Chronic Hyperkalemia ... ) - Effective diuretic ... therapy (loop diuretics
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... • Drugs • Diabetic ... • Type 1 #Hyperkalemia ... #nephrology #potassium