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diagnosis differential nephrology hyperkalemia causes high management metabolic treatment acidosis acute alkalosis aniongap arb chloride classification hyponatremia initiation intercellularshift kdigo
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... renal failure • Chronic ... #Diagnosis #algorithm ... #nephrology #potassium
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... drugs - Moderate potassium ... Consider: diuretics, sodium ... Initiation #monitoring #algorithm
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... nebulized • Sodium ... treatment Remove potassium ... offending agent (ACE-I
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
failure (acute and chronic ... Chronic progressive ... Potassium-sparing ... ACE-Is and ARBs ... diagnosis #causes #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• NSAIDs • ACE ... • Recent IV potassium ... trauma - Ischemic colonic ... diagnosis #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• NSAIDs • ACE ... • Recent IV potassium ... trauma - Ischemic colonic ... diagnosis #causes #potassium ... #high #nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Algorithm for Management ... in 4 mL) - IV sodium ... mL/min) - Oral sodium ... #Algorithm #Management ... #treatment #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... settings, the urine sodium ... the excretion of sodium ... and potassium acid ... Chloride #urine #Algorithm
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... Creatinine • Chronic ... Aldosterone • ACEi ... IntercellularShift #Nephrology
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
combination with ACE ... the epithelial sodium ... Chronic kidney disease ... the epithelial sodium ... Diagnosis #High #Potassium
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