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management diagnosis hyperkalemia pharmacology potassium algorithm comparison differential causes chronic diuresis diuretics effects hematology high hyponatremia hypotonic kdigo lactated leukostasis
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Potassium Binders ... • SPS - Sodium ... #treatment #pharmacology ... #table #comparison ... #nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Acute Hyperkalemia ... in 4 mL) - IV sodium ... binders Chronic ... #Chronic #treatment ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Excretion: ... suggests ↓ renal excretion ... Elimination (see Table ... acidosis) • Low ... #potassium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... differential #diagnosis #table ... #sodium #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
trial • Minimal K ... states such as acute ... Is Dangerous in Hyperkalemia ... decreased renal blood flow ... excretion • Saline
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... management of acute ... depletion • Consider K+ ... binder** • Consider ... potassium #high #nephrology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Pulm: Hypoxia, dyspnea ... - ACS, AKI, acute ... values: Elevated K, ... , Elevated Cr, Low ... Non calcium phos binders
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal Excretion ... Torsemide) • Acute ... Tolvaptan) • Treatment ... #Diuresis #Nephrology ... #Medications #Table
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
myopathies - Excess exertion ... Treatment of underlying ... fluid/Lactated ringers ... per day until stable ... #nephrology
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