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differential management algorithm causes hyperkalemia high product reactions syndrome treatment classification dyspnea gitelman hyponatremia hypotonic leukostasis lysis pathophysiology physiologic pulmonary
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... vomiting) • Low ... K intake (anorexia ... #Algorithm #nephrology ... #low #potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
the basis of the potassium-to-creatinine ... effective arterial blood ... #urine #potassium ... differential #algorithm #diagnosis ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... losses: • High Blood ... consumption • Low ... #diagnosis #Algorithm ... #nephrology #low
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Crush injury • Blood ... Blood transfusion ... #causes #potassium ... #high #nephrology
Hypokalemia Diagnostic Algorithm To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Hypokalemia Diagnostic ... (K⁺ <3.5 mEq/L) ... #Hypokalemia #Diagnosis ... Algorithm #TTKG #nephrology ... #low #potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Crush injury • Blood ... • Recent IV potassium ... Blood transfusion ... #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Elimination (see Table ... acidosis) • Low ... #Treatment #potassium ... #nephrology #K
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
- Differential Diagnosis ... fast - Too slow ... Water - Pus - Blood ... • Pleura: - ... Transverse myelitis • Hematology
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
stimulation of Na*/K+ ... factor (white blood ... inhibition of "leak" K* ... #Differential #Diagnosis ... #Low #Potassium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis ... #table #sodium ... #nephrology
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