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diagnosis differential nephrology management hypokalemia treatment metabolic alkalosis classification hypomagnesemia pharmacology sodium table anesthesia anesthesiology checklist chloride hyponatremia intraoperative magnesium
Diuretics - Pharmacology Thiazides diuretics: • Inhibit Na+ Cl- cotransporter in distal tubule • Chlorothiazide, Chlorthalidone, Indapamide,
Diuretics - Pharmacology ... Thiazides diuretics ... diuretics: • ... Piretanide Potassium ... Pharmacology #nephrology #conversion
Ascites Management Principles Low Salt Diet - 2000 Mg Sodium Fluid Restriction - Never Work-horse Diuretic - Aldosterone Antagonist Combination
Management Principles Low ... Restriction - Never Work-horse ... Diuretic - Aldosterone ... Antagonist Combination Diuretics ... - Add-on Loop Diuretics
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... and thiazide diuretics ... Hypokalemia - Osmotic diuresis ... Post-obstructive diuresis ... #Workup #hypomg
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... • HTN Absent: Loop ... and thiazide diuretics ... Differential #Diagnosis #Algorithm ... #causes #potassium
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Remote use of loop ... or thiazide diuretics ... - Normal/low ... pressure: Active diuretic ... #causes #urinary
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Saline or osmotic diuresis ... , Potassium depletion ... disease • Drugs: Loop ... diuretics, Aminoglycosides ... nephrology #magnesium #low
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Urine Mg > 10g • Loop ... Diuretics • Hypercalcemia-PTH ... syndrome • Thiazide Diuretics ... Hypomagnesemia #Magnesium #Low
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 ... differential #diagnosis #algorithm ... #potassium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... • Euvolemic (Low ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... Saline or osmotic diuresis ... - Potassium depletion ... disease Drugs: - Loop ... diuretics - Aminoglycosides
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