17 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... determine response to diuretic ... #hyperkalemia ... #kaliuresis #management ... diuretics #diuresis #nephrology
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
Causes of HyperKalemia ... K+: • Tissue injury ... Succinylcholine • Diabetes ... blockers - MCW Nephrology ... MCW_Nephrology #HyperKalemia
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... function) - Loop diuretic ... LouLectures #Hyperkalemia ... #management #potassium ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... • LDH ↑ • Hyperkalemia ... Hypocalcemia/Late - Hypercalcemia ... Differential #Diagnosis #Management ... causes #treatment #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... (Uncontrolled diabetes ... potassium #high #nephrology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
Poorly controlled diabetes ... Diabetes Insipidus ... diseases, Hypoxic injury ... Hereditary, Lithium, Hypercalcemia ... Diagnosis #Causes #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... (Uncontrolled diabetes ... potassium #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... , rhabdo/crush injury ... Diuretics (IV loop diuretic ... - IV loop diuretic ... Treatment #potassium #nephrology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
heart failure, neurologic ... or acute kidney injury ... disorders including hypokalemia ... Vasculitis • Endocrinologic ... Neurologic disorders
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Hyponatremia • Hypercalcemia ... • Nephrogenic diabetes ... DDAVP) • Central diabetes ... Excretion #Diuresis #Nephrology