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diagnosis differential algorithm hyperkalemia medications pediatrics potassium treatment binders comparison diuresis diuretics drugs epilepticus excretion framework gitelman hypernatremia hypokalemia hyponatremia
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... mOsm/kg - Implies renal ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Glucose, Acute resp. alkalosis ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... #phosphate #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
Immunosuppression in Transplantation Induction (I): - Basiliximab (Simulect) - Alemtuzumab (Campath) - Rituximab - Anti-Thymocyte Globulin (ATG) Induction
#Medications #Pharmacology ... #Table #Drugs # ... #Maintenance #Management ... #Nephrology #Renal
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Hyperkalemia • SPS - Sodium ... veltassa) • SZC - Sodium ... Hyperkalemia #treatment #pharmacology ... #table #comparison ... #nephrology
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Management of Pediatric ... protein - Low ... sodium diet ... Monitoring for extra-renal ... #Pediatrics #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 ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... irrigation • Management ... Excretion #Diuresis #Nephrology ... #Pharmacology # ... Medications #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... 15 suggests ↓ renal ... Elimination (see Table ... acidosis) • Low ... Treatment #potassium #nephrology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... • Give high flow ... Consider CBC, renal ... IV Thiopental Sodium ... #neurology #pediatrics
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