102 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
determine response to diuretic ... hyperkalemia #kaliuresis #management ... #criticalcare # ... treatment #diuretics ... #diuresis #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... , address diuretic ... Early nephrologv ... Fluid #Balance #management ... #criticalcare
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... concentrating defect: • Diuretics ... • Osmotic diuresis ... Hypernatremia #Differential ... Diagnosis #Causes #nephrology
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 • Primary
Polyuria - Differential ... 3L /day Water Diuresis ... Insipidus Mixed Diuresis ... #Polyuria #Differential ... Algorithm #causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Hyponatremia - Differential ... Renal losses, Diuretic ... Ketonuria, Osmotic diuresis ... #Hyponatremia #Differential ... Algorithm #Causes #nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
thiazide-like diuretics ... Postobstructive diuresis ... , Osmotic diuresis ... Hypokalemia #Causes #differential ... #diagnosis #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... irrigation • Management ... Symport (Loop Diuretics ... ; High-Ceiling Diuretics ... #Nephrology #Pharmacology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... Hypernatremia #Differential ... Workup #Algorithm #nephrology
Diagnosis and Management of Hyponatremia

#Hyponatremia #Algorithm #Differential #Diagnosis #Management #Nephrology

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... Hyponatremia #Algorithm #Differential ... #Diagnosis #Management ... #Nephrology ... Recommended Text: Nephrology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
of Polyuria - Differential ... a.k.a. osmotic diuresis ... : Conventional diuretics ... #Polyuria #Differential ... Diagnosis #Causes #nephrology