21 results
diagnosis differential algorithm causes management metabolic potassium comparison hypokalemia pathophysiology phosphate treatment chloride hyperkalemia hyponatremia syndrome workup anticoagulation cardiorenal citrate
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Cl intake, Diuretics ... High Urine Cl-: Diuretics ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Cl intake, Diuretics ... High Urine Cl-: Diuretics ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology
Phosphate Binders - Pros and Cons Calcium carbonate (TumsTM) - Most inexpensive, antacid properties useful for
Low pill burden. ... edgarvlermamd - Nephrology ... #Table #Comparison ... #Pharmacology # ... Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... can be high or low ... Primary polydipsia), Low ... differential #diagnosis #table ... #sodium #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... Losses Non-renal ... vomiting) • Low ... • Discontinued diuretic ... Diagnosis #Algorithm #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
mOsm/kg - Implies renal ... • Euvolemic (Low ... , Ingestion Renal ... Workup #Algorithm #nephrology ... #sodium
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Antacids, Phosphorus binders ... Glucose, Acute resp. alkalosis ... FEPO4 ≥ 5% - Renal ... Inh., Osmotic diuresis ... Workup #phosphate #nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic Alkalosis ... Chloridorrhea Renal ... • Penicillins Renal ... tubular transport • Diuretics ... MetabolicAlkalosis #NonGap #Nephrology
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Potassium Binders ... Hyperkalemia • SPS - Sodium ... Hyperkalemia #treatment #pharmacology ... #table #comparison ... #nephrology
Mechanisms of nephron damage in cardiorenal syndrome • Increased renal interstitial pressure • Hypoperfusion • Reduced
• Increased renal ... blood flow • ... hypertrophy • Sodium ... activities • Diuretic ... pathophysiology #nephrology
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