11 results
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 ... - Review for causes
Here’s a review of the Renin-Angiotensin-Aldosterone system (RAAS)

This is a very common pathway that clinicians should
while retaining sodium ... , which causes increased ... (Aliskiren, ACEI ... , ARB, and Aldosterone ... avoid harmful hyperkalemia
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 ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• NSAIDs • ACE ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• NSAIDs • ACE ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Creatinine • Chronic ... Aldosterone • ACEi ... /ARB • Adrenal ... #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... the indicated causes ... settings, the urine sodium ... the excretion of sodium ... and potassium acid
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi ... /ARBs, NSAIDs, β-blockers ... only if no clear cause ... Management #Treatment #potassium ... #nephrology #K
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
Causes of Hyperkalemia ... combination with ACE ... receptor blockers [ARBs ... the epithelial sodium ... Diagnosis #High #Potassium
Pseudohyperkalemia vs Reverse Hyperkalemia

Pseudohyperkalemia and reverse pseudohyperkalemia are both conditions where potassium levels appear falsely elevated.

Pseudohyperkalemia:
This
Causes: • Thrombocytosis ... leukemias (especially chronic ... Causes: • Seen ... associated with CLL (chronic ... #Potassium #Nephrology