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diagnosis differential nephrology hyperkalemia algorithm high hypokalemia pharmacology hypomagnesemia medications pathophysiology rhabdomyolysis summary syndromes table abg acid acidbase acidosis alkalosis
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... of diabetic ketoacidosis ... (mimics loop diuretic ... mimics thiazide diuretic
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Altitude sickness • Diuretic ... irrigation • Management ... Torsemide) • Acute pulmonary ... Kidney stones caused ... Tolvaptan) • Treatment
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
gastrointestinal K loss • Renal ... hypokalemia • Renal ... Ureterosigmoidostomy, Diabetic ... Post-hypercapnia • Diuretics ... #nephrology #potassium
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... Correction of diabetic ... (steatorrhea) Renal ... - Potassium depletion ... Tubulointerstitial renal
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... (if preserved renal ... function) - Loop diuretic ... #Hyperkalemia #management
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... Correction of diabetic ... steatorrhea) • Renal ... , Potassium depletion ... Tubulointerstitial renal
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Monitor potassium ... Loop diuretics for ... #Summary #causes ... #treatment
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• K sparing diuretics ... - Tumor lysis syndrome ... (Uncontrolled diabetes ... Food - Avoid in ... differential #diagnosis #causes
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... after renal tubule ... diuretic effect ... generally indicates a renal ... other • Severe potassium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
15 suggests ↓ renal ... only if no clear cause ... (IV loop diuretic ... - IV loop diuretic ... #Treatment #potassium
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