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diagnosis differential management algorithm hypokalemia potassium defects diuresis diuretics drugs epilepticus epithelial excretion gitelman hyperkalemia hyponatremia hypotonic immunosuppression immunosuppressive induction
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... Thyrotoxicosis Medications ... Renal Losses ... K intake (anorexia ... Diagnosis #Algorithm #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K ... Sodium loss (diuretics ... can be high or low ... differential #diagnosis #table ... #sodium #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
Epithelial Cells Renal ... syndrome - Na-K- ... cotransporter, K ... Defects #Kidney #Nephrology ... #Differential #Table
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... consumption • Low ... - Metabolic Alkalosis ... differential #potassium #nephrology ... #low
Immunosuppression in Transplantation Induction (I): - Basiliximab (Simulect) - Alemtuzumab (Campath) - Rituximab - Anti-Thymocyte Globulin (ATG) Induction
Immunosuppressive #Medications ... #Pharmacology # ... Table #Drugs #Induction ... Maintenance #Management #Nephrology ... #Renal
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... • Metabolic alkalosis ... Excretion #Diuresis #Nephrology ... #Pharmacology # ... Medications #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... Elimination (see Table ... STOP offending medications ... acidosis) • Low ... Treatment #potassium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... • Normal or low ... • Hypokalemia (renal ... Syndrome #diagnosis #nephrology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... Consider CBC, renal ... Alternative medications ... IV Thiopental Sodium ... seizure #Management #neurology
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