28 results
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
algorithm Decreased renal ... • Acute renal ... failure • Chronic renal ... : • Post-renal ... Diagnosis #algorithm #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... loss (Diarrhea) Renal ... Syndrome • HTN, High ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... Mineralocorticoid excess - Renal ... tubular acidosis ... - Salt wasting nephropathy ... Diagnosis #Low #Potassium
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
oxoproline) • Renal ... Renal acidosis ... (with renal insufficiency ... Potassium-sparing ... diagnosis #causes #nephrology
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... Urine pH > 6.0 - Hypokalemic ... = Hyperkalemic Renal ... uncimchiefs #RTA #Renal ... Diagnosis #Algorithm #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
gastrointestinal K loss • Renal ... • Renal tubular ... acidosis (type ... algorithm #causes #nephrology ... #potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Metabolic acidosis ... resistance Impaired Renal ... deficiency • Renal ... Type IV RTA • Renal ... #high #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... (if preserved renal ... LouLectures #Hyperkalemia ... #management #potassium ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... suggests extra-renal ... urinary losses: • High ... - Metabolic acidosis ... #nephrology #low
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Metabolic acidosis ... resistance Impaired Renal ... deficiency • Renal ... Type IV RTA • Renal ... #high #nephrology