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diagnosis nephrology differential management acidosis alkalosis causes chloride classification comparison effects elevation gitelman kidney lactate lactated lr nephrolithiasis normal ns
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... • Diarrhea A urine ... consumption • Low ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... ketoacidosis • D-lactic ... and potassium acid ... #Algorithm #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 ... alkalosis • Normal or low ... (renal potassium ... Hypocalciuria (spot urine
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Kidney Stones Acute ... • Can consider medical ... Surgical Rx: • ACUTE ... protein - Low ... sodium diet
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... lactate NOT lactic ... states such as acute ... Is Dangerous in Hyperkalemia ... Decreased GFR, urine
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
impairment of cellular metabolism ... excretion (e.g., urine ... sweat) - its metabolism ... - Shock - Hypovolemia ... LV failure - Low
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