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diagnosis management causes algorithm diuresis hypokalemia potassium rhabdomyolysis aids apml associated balance chloride criticalcare differentiation disorder diuretics excretion hematology hiv
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
• Start with LOOP ... are short acting ... aldosterone states (CHF ... contraction metabolic alkalosis ... Early nephrologv
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... anemia) • G-CSF ... intake (anorexia, dementia ... • Discontinued diuretic ... Diagnosis #Algorithm #nephrology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... plasma insulin (treatment ... diuretics, and ... Hypokalemia #Causes #differential ... #diagnosis #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Remote use of loop ... or thiazide diuretics ... diuretic use, Bartter ... urine #Algorithm #nephrology ... #differential #
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Diuretics and Agents ... • Metabolic alkalosis ... +2Cl- Symport (Loop ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... (IV loop diuretic ... acetazolamide) - IV loop ... (10g PO tid) - caution ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Rhabdomyolysis - Differential ... Dermatomyositis) AKI - Pathophysiology ... extracellular fluid ... Loop diuretics for ... fluid overload
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
Pathophysiology ... : • Increased CSF ... fluid • Decrease ... fluid-attenuated ... #AIDS #Neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Loop diuretics for ... fluid overload ... Rhabdomyolysis #Differential ... #nephrology
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Pathophysiology ... initiation • Differential ... sepsis), PE, DAH, CHF ... Supportive Care: Diuresis ... for fluid overload
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