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diagnosis differential hyperkalemia causes hematology high product treatment algorithm gitelman k low pathophysiology rhabdomyolysis transfusion transfusions
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... • Recent IV potassium ... - Tumor lysis syndrome ... Blood transfusion ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... • Recent IV potassium ... - Tumor lysis syndrome ... Blood transfusion ... #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 ... peaks 1-2h) • Blood ... #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 ... losses: • High Blood ... • Low/Normal Blood ... #nephrology #low
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Normal or low blood ... (renal potassium ... , Renal tubular ... #diagnosis #nephrology ... #management #pathophysiology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... UA positive for blood ... Monitor potassium ... Differential #Diagnosis #Management ... causes #treatment #nephrology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
indirect Coombs test ... , DIC, hypoTN, renal ... , Hyperkalemia: ... potassium from ... Transfusions #diagnosis #management
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
, DIC, hypoTN, renal ... • Hypocalcemia ... , Hyperkalemia: ... potassium from ... Transfusion #diagnosis #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Excretion: - Renal ... 15 suggests ↓ renal ... Cortisol+ACTH stim test ... #Treatment #potassium ... #nephrology #K
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