37 results
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
a patient with vertigo ... PERIPHERAL cause of vertigo ... Clinical #Video #Negative ... #Neurology #Peripheral ... #Vertigo
Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
management of severe hyperkalemia ... #hyperkalemia ... management #algorithm #nephrology ... #Potassium #Treatment
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... to diuretic #hyperkalemia ... #criticalcare #treatment ... diuretics #diuresis #nephrology
Key Characteristics of Old and New Potassium-Binding Agents

- Dr. Edgar V. Lerma https://twitter.com/edgarvlermamd

#Potassium #Binding #KBinders #Kayexelate
KBinders #Kayexelate #Comparison ... Pharmacology #Patiromer #HyperKalemia ... #Nephrology #Agents
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... Central #Peripheral #Vertigo ... #diagnosis #neurology ... #bppv #comparison
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... reproduction of vertigo ... impulse test: Negative ... Labyrinthitis #diagnosis #neurology ... #comparison
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... LouLectures #Hyperkalemia ... management #potassium #nephrology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... BPPV); worsens vertigo ... signs #symptoms #comparison ... #neurology
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Management of Hyperkalemia ... Binders #Management #Hyperkalemia ... #treatment #pharmacology ... #table #comparison ... #nephrology
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Lower risk of hypercalcemia ... range - Lack of hypercalcemia ... edgarvlermamd - Nephrology ... Binders #Table #Comparison ... #Pharmacology #Nephrology