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diagnosis nephrology management hypokalemia potassium low hyponatremia table endocrinology hypercalcemia pharmacology cardiology classification high hypomagnesemia medications metabolic workup acute alkalosis
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
(B) Treatment algorithm ... Total loop diuretic ... intravenous; SGLT2‐I, sodium–glucose ... following a single loop ... #CHF #Algorithm
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... anhydrase inhibitors, loop ... syndrome (mimics loop ... #Causes #differential
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... - Differential ... Diagnosis Algorithm ... Clinicians should also look ... Post-hypercapnia • Diuretics
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Algorithm for Management ... in 4 mL) - IV sodium ... therapy (loop diuretics ... mL/min) - Oral sodium ... Acute #Chronic #treatment
Diuretics - Pharmacology Thiazides diuretics: • Inhibit Na+ Cl- cotransporter in distal tubule • Chlorothiazide, Chlorthalidone, Indapamide,
Metolazone Loop ... as no effect on sodium ... Pharmacology #nephrology #conversion ... #loop #thiazide ... #classes
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... 90 minutes) • Sodium ... renal function) - Loop ... diuretic (often ... LouLectures #Hyperkalemia
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... abnormalities - Hypercalcemia ... - Hypokalemia ... Hypomagnesemia #Differential ... Classification #Causes
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
associated with hypokalemia ... overdose) - Sodium ... Furosemide and other loop ... #Medications #differential ... diagnosis #nephrology #Causes
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... - Differential ... Diagnosis Algorithm ... Urine Mg > 10g • Loop ... Diuretics • Hypercalcemia-PTH
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 ... #causes #potassium
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