11 results
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Potassium Binders ... • SPS - Sodium ... #Hyperkalemia # ... #pharmacology #table ... #comparison #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
remember than the normal ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... differential #diagnosis #table ... #sodium #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 ... or Low FGF-23: ... #phosphate #nephrology
Digoxin Pharmacology and Pathophysiology
1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
Pump - Digoxin works ... - Hyperkalemia ( ... Because digoxin binds ... (or low potassium ... levels stay within normal
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... common culprits: Hypovolemia ... , Low effective ... #simplified #workup ... #diagnosis #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
130 mEq/L • Potassium ... states such as acute ... Is Dangerous in Hyperkalemia ... Saline Causes AKI ... decreased renal blood flow
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
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 ... <30 mL/min) - Oral ... Chronic #treatment #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... Metabolic alkalosis • Normal ... or low blood pressure ... (renal potassium ... Syndrome #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
declines > ALT) • AKI ... + myoglobin AKI ... Monitor potassium ... per day until stable ... causes #treatment #nephrology