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diagnosis differential management treatment hypokalemia causes intercellularshift hematology kdigo leukostasis lysis neurology pediatrics peds polyuria seizure status syndrome tls tumor
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... with hypokalemia ... #urine #potassium ... #differential #algorithm ... #diagnosis #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... urinary losses: • High ... consumption • Low ... #nephrology #low
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
2 (Na meq/L + K ... Hyperglycemia, High ... solute intake (e.g ... nutrition), Azotemia LOW ... #nephrology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... depletion • Consider K+ ... and ECG changes ... #potassium #high
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment algorithm ... monitor 12-lead ECG ... depletion • Consider K+ ... #treatment #potassium ... #high #nephrology
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... • Order a STAT EKG ... stabilize heart if EKG ... or dialysis • SLOW ... #high
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... EABV (e.g., CHF ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... acidosis) • Low ... Slow - don’t delay ... Management #Treatment #potassium ... #nephrology #K
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
: - Neuro: AMS ... values: Elevated K, ... , Elevated Cr, Low ... hydration - Hyperkalemia ... unless worrisome EKG
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... infusion of 2 mcg ... maximum of 24 mcg ... seizure #Management #neurology ... pediatrics #peds #algorithm
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