Loop Diuretic Conversion pathophysiology treatment action alkalosis hypokalemia differential causes algorithm rhabdomyolysis nephrology acidosis intercellularshift syndrome

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Causes of Hypokalemia
Transcellular Shifts:
- Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic

Causes of Hypokalemia ... Transcellular Shifts: - Alkalosis ... plasma insulin (treatment ... (mimics loop diuretic ... #Causes #differential

Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
• Cl- responsive metabolic alkalosis

- Differential ... Remote use of loop ... blood pressure: Active ... acidosis: Diabetic ... #causes #urinary

Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
• Normal Acid-Base: Low intake
• Metabolic acidosis: Gl tract

Hypokalemia - Differential ... • HTN Absent: Loop ... and thiazide diuretics ... #causes #potassium ... #low #nephrology

Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
• Kidney loss of Cl-

Remote use of loop ... blood pressure: Active ... acidosis • Diabetic ... the indicated causes ... #nephrology #differential

Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K

Causes of Hypokalemia ... Clinicians should also look ... Renal tubular acidosis ... Post-hypercapnia • Diuretics ... #causes #nephrology

Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

Causes of Hyponatremia ... - Differential ... with renal tubal acidosis ... and metabolic alkalosis ... #Causes #nephrology

Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,

Causes of Hyperkalemia ... Gap Metabolic Acidosis ... Tumor Lysis Syndrome ... , rhabdomyolysis ... #Nephrology #Differential

Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
• Gastric alkalosis:

Causes of Metabolic ... Alkalosis: Differential ... chronic respiratory acidosis ... #Differential # ... #nephrology

Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss

Causes of Hypokalemia ... - Differential ... Vomiting • NG suction ... contracted • Loop ... #Nephrology #Differential

Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked

- Metabolic Alkalosis ... : Emesis, Diuretics ... - Metabolic acidosis ... #differential # ... potassium #nephrology

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