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diagnosis differential pediatrics acid acidbase algorithm base bloodgas disorders diuresis diuretics epilepticus excretion framework gas gitelman hyperkalemia hypokalemia hyponatremia hypophosphatemia
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acute or chronic ... ABG And BMP Normal ... Compensation, Acute ... D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
paraproteinemia, acute ... resp. alkalosis ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... Workup #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 ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... • Normal or low ... , Renal tubular ... #diagnosis #nephrology ... #management #pathophysiology
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Kidney Stones Acute ... protein - Low ... sodium diet ... Monitoring for extra-renal ... #Pediatrics #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... irrigation • Management ... Torsemide) • Acute ... Excretion #Diuresis #Nephrology ... #Medications #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
(Assess GFR), ±VBG ... 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
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
#ICUCard RENAL ... 0.6*Wt Required Sodium ... (Na U(U/P Cr) Renal ... 2)| Metabolic Alkalosis ... Distress Syndrome
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