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nephrology diagnosis differential causes treatment hypokalemia sodium hypernatremia potassium workup low table acute chronic correction criticalcare excretion goal hypotonic k
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
hypovolemic step 2 ... determine response to diuretic ... #kaliuresis #management ... #diuresis #nephrology ... #algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Renal losses, Diuretic ... Ketonuria, Osmotic diuresis ... #Causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... renal mechanism 2) ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #nephrology #sodium
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Diuretics and Agents ... Altitude sickness • Diuretic ... irrigation • Management ... Symport (Loop Diuretics ... • Hypercalcemia
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Renal Sodium loss (diuretics ... deficiency, Post-AKI diuresis ... (AKI, Post-AKI diuresis ... : Hypovolemia, Hypervolemia
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Step 2. ... volume loss - diuretics ... Diagnosis #Workup #Algorithm ... #Nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Algorithm for Management ... sodium bicarbonate, Diuretics ... ) - Effective diuretic ... therapy (loop diuretics ... #Algorithm #Management
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Diuretics (discontinued ... #Differential #Algorithm ... Causes #Workup #Nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Alkalosis • ↑ beta-2 ... • Discontinued diuretic ... #nephrology #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
G-K), K-sparing diuretics ... improve GFR - Diuresis ... hypertonic Amp IVP • Diuretics ... (IV loop diuretic ... - IV loop diuretic
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