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diagnosis differential nephrology management hypokalemia potassium low hyponatremia table endocrinology hypercalcemia pharmacology criticalcare diuresis diuretics hypomagnesemia magnesium medications metabolic renal
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
Treatment of hyperkalemia ... #hyperkalemia ... #criticalcare #treatment ... #diuretics #diuresis ... #nephrology #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
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
(B) Treatment algorithm ... Total loop diuretic ... maximal dose for IV loop ... following a single loop ... #CHF #Algorithm
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 ... differential #diagnosis #algorithm
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... and thiazide diuretics ... abnormalities - Hypercalcemia ... - Hypokalemia ... Classification #Causes
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Algorithm CHF ... consider adding loop ... diuretic Reset ... -> free water diuresis ... #Algorithm #Management
Diuretics - Pharmacology Thiazides diuretics: • Inhibit Na+ Cl- cotransporter in distal tubule • Chlorothiazide, Chlorthalidone, Indapamide,
Diuretics - Pharmacology ... Metolazone Loop ... Pharmacology #nephrology #conversion ... #loop #thiazide ... #classes
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 ... Magnesium #Low #Causes
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
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Ureterosigmoidostomy, jejunal loop ... , ileal loop ... Hypokalemia ... Hyperkalemia ... Potassium-sparing diuretics
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