15 results
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup ... Chelators, Lactate, Citrate ... Hyperphosphatemia, Acute ... #Workup #Differential ... Diagnosis #Algorithm #nephrology
Phosphate Binders - Pros and Cons

Calcium carbonate (TumsTM) 
 - Most inexpensive, antacid properties useful for
Low pill burden. ... Velphoro, ferric citrate ... edgarvlermamd - Nephrology ... #Table #Comparison ... #Pharmacology #Nephrology
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Potassium Binders ... Management of Hyperkalemia ... • SPS - Sodium ... #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 ... - Consider K+ binders ... reinitiate and titrate ... Chronic #treatment #nephrology
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Inexpensive - Treats hypocalcemia ... burden Ferric citrate ... edgarvlermamd - Nephrology ... #Table #Comparison ... #Pharmacology #Nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... paraproteinemia, acute ... Antacids, Phosphorus binders ... • Normal or Low ... #phosphate #nephrology
Citrate Anticoagulation Toxicity

Hypernatremia (HyperNa):
 - Citrate solutions may have ↑ sodium content and should be paired
solutions may have ↑ sodium ... binds Mg: this ... circulation → ↓Mg Hypocalcemia ... dysfunction or low ... Toxicity #toxicology #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Kidney Stones Acute ... Surgical Rx: • ACUTE ... protein - Low ... sodium diet ... Management #Pediatrics #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Antacids, Phosphate Binders ... Refeeding Syndrome, Acute ... Diagnosis #Algorithm #nephrology ... #phosphorus #workup
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... same line - Citrate ... states such as acute ... Is Dangerous in Hyperkalemia ... decreased renal blood flow