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diagnosis differential management nephrology potassium treatment hyperkalemia hypomagnesemia magnesium anesthesia anesthesiology associated checklist crisis emergencies endocrinology hemeonc high hyperthermia hypokalemia
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... abnormalities - Hypercalcemia ... Differential #Diagnosis #Low ... Magnesium #Table #Classification ... #Causes #Workup
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... Dialysis with low ... Volume Overload → Loop ... diuretic IV Bisphosphonate ... Calcitonin Refractory Cases
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
Treatment algorithm ... hypercalcemia ... : Dalysis with low ... Volume overload: Loop ... diuretic • Lymphoma
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 ... Hypomagnesemia #Magnesium #Low
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... High Aldosterone: Malignant ... • HTN Absent: Loop ... and thiazide diuretics ... #causes #potassium
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... tubular transport • Diuretics ... (loop/thiazide) ... Aldosterone • Malignant ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... only if no clear cause ... acidosis) • Low ... (IV loop diuretic ... acetazolamide) - IV loop
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... other, more common causes ... with dantrolene Hyperkalaemia ... forced alkaline diuresis ... Diagnosis #Management #Workup
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy: ... Adjuncts: loop diuretics
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
Causes of Hyperkalemia ... : amyloidosis, malignancy ... Drug-associated: heparin, low-molecular-weight ... High #Potassium #Classification ... #Causes
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