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diagnosis differential nephrology management causes sodium workup criticalcare diuresis diuretics heat heatstroke high hyponatremia hypotonic illness kaliuresis physiologic polymorphic potassium
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
Treatment of hyperkalemia ... kaliuresis step 1 ... fludrocortisone step 3 ... to diuretic #hyperkalemia ... #algorithm
Causes of Hypokalemia - Differential Diagnosis Algorithm Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... out, causes of hypokalemia ... discrete buckets: 1. ... transcellular shift) 3. ... varunnephro #Hypokalemia
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... discontinued) 3. ... NephTwitter) #Hypokalemia ... Causes #Workup #Nephrology
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... , Dehydration: neurologic ... post-obstructive 3) ... Diabetes Insipidus: neurogenic ... ([Na] / 140) - 1)
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
• LDH ↑ • Hyperkalemia ... Hyperuricemia • Hyponatremia ... obstruction 3. ... Dialysis for severe hyperkalemia ... #nephrology
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... leadingto hyperkalemia ... potassium supplements 1) ... Intracellular K+ Shift 3) ... / Removal #Hyperkalemia
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... flecainide) • Class 3 ... Hypomagnesemia • Hypokalemia ... • Hypocalcemia ... (rarely) Treatment
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... Present (Uosm ≥100): Hypovolemia ... , Hypervolemia with ... table #sodium #nephrology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
conditions - Neurogenic ... heat illness → Hypernatremia ... Multi-system illness: 1. ... , ARDS, DIC) 3. ... - Hyperkalemia
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