54 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
fludrocortisone step 3 = diuretic ... determine response to diuretic ... criticalcare #treatment #diuretics ... #diuresis #nephrology ... #algorithm
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
diuretics, and ... thiazide-like diuretics ... Postobstructive diuresis ... diuretic use), ... differential #diagnosis #nephrology
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... hypernatremia - Osmotic diuretic ... , Loop diuretics ... Postobstructive diuresis ... Comparison #Table #Nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... and thiazide diuretics ... - Osmotic diuresis ... Post-obstructive diuresis ... Differential #Diagnosis #Low
Diuretics - Pharmacology

Thiazides diuretics:
 • Inhibit Na+ Cl- cotransporter in distal tubule
 • Chlorothiazide, Chlorthalidone, Indapamide,
Diuretics - Pharmacology ... Thiazides diuretics ... diuretics: • ... #Pharmacology #nephrology ... #conversion #loop
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... • HTN Absent: Loop ... and thiazide diuretics ... #nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Algorithm for Management ... sodium bicarbonate, Diuretics ... ) - Effective diuretic ... therapy (loop diuretics ... Chronic #treatment #nephrology
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 • Increased osmotic load (Increased
• Physiologic Diuresis ... Post-obstructive diuresis ... kidney disease, Loop ... Diuretics, Recovery ... phase of ATN, Hypercalcemia
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... vomiting) • Low ... • Discontinued diuretic ... #nephrology #low
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Differential Diagnosis Algorithm ... Urine Mg > 10g • Loop ... DiureticsHypercalcemia-PTH ... syndrome • Thiazide Diuretics ... Hypomagnesemia #Magnesium #Low