31 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 ... #nephrology #algorithm
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
Loop diuretic PO ... --> IV conversions ... #Diuretics #Equivalent ... #Dose #Conversion ... #Table #Furosemide
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... of diabetic ketoacidosis ... diuretic use), ... mimics thiazide diuretic
Loop diuretic conversion - Equivalent Doses
Furosemide (Lasix) 40 mg PO = Furosemide 20 mg IV =
Loop diuretic conversion ... Pharmacology #Cardiology #Loop ... #Diuretic #Equivalent ... #Doses #Conversion ... #Table #Furosemide
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
Flowchart to diuretic ... (B) Treatment algorithm ... Total loop diuretic ... diuretic administration ... #Diuretic #Diuresis
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... starts by measuring urinary ... Clinicians should also look ... Ureterosigmoidostomy, Diabetic ... Post-hypercapnia • Diuretics
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... Medications - Loop ... - Hypokalemia ... - Uncontrolled diabetes ... Low #Magnesium #Table
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Urinary Chloride ... Remote use of loop ... pressure: Active diuretic ... metabolic acidosis: Diabetic ... #causes #urinary
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... excretion: • Urinary ... renal function) - Loop ... diuretic (often ... LouLectures #Hyperkalemia
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 • Increased osmotic load (Increased
Increased urine osm): Diabetes ... kidney disease, Loop ... Diuretics, Recovery ... phase of ATN, Hypercalcemia ... deficiency/resistance (Diabetes