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diagnosis nephrology management hypokalemia causes criticalcare foamed urine alkalosis cardiology chf chloride clinical diuresis diuretics druginduced encephalopathy excretion heartfailure hyperkalemia
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... Normotensive: • UCl ... Post-hypercapnia • UCl ... #causes #low #potassium
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
Angiotensin-converting enzyme (ACE ... • Exogenous (KCL ... #hyperkalemia #differential ... pathophysiology #pharmacology ... #potassium #medications
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... • Low Urine Cl ... • High Urine Cl ... #differential # ... algorithm #diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Cl- responsive ... Kidney loss of Cl ... alkalosis • Loss of Cl ... Cystic fibrosis Cl ... of sodium and potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... urine output: 200 ml ... Monitor potassium ... per day until stable ... Rhabdomyolysis #Differential
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome ... Inhibitors of Na+K+2Cl ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology ... #Medications #Table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Anterior circulation: MCA ... Reversible course Differential ... Electrolyte abnormality, Medication ... epilepticus Treatment ... underlying cause • Treatment
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
1.6, low urine Cl ... 0.7, high urine Cl ... correcting serum potassium ... Other medications ... hypokalemia #diagnosis #differential
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
carry treatment ... for Refeeding Syndrome ... provided the starting potassium ... #diagnosis #differential ... #algorithm #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
acute coronary syndrome ... #diagnosis #differential ... #algorithm #management ... #table #foamed ... icu #clinical #pharmacology
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