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diagnosis differential causes hyperkalemia hypokalemia algorithm balance criticalcare diuresis druginduced drugs fluid hypomagnesemia hypomg low management negative pharmacology urine
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... Thyrotoxicosis Medications ... Transcellular shifts ... Diagnosis #Algorithm #nephrology ... #low #potassium
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
• Increased EC shift ... differential #diagnosis #pathophysiology ... #pharmacology #potassium ... #medications #druginduced
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... • Recent IV potassium ... Intracellular Shift ... Medications 2. ... #high #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... mmol creatinine) High ... hypokalemia #urine #potassium ... algorithm #diagnosis #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... • Recent IV potassium ... Intracellular Shift ... Medications 2. ... #high #nephrology
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
Hypokalemia - Shift ... - Insulin (high ... hypomagnesemia #Medications ... differential #diagnosis #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
TO PO • USE HIGH ... CONCENTRATION MEDICATIONS ... ) to normalize Potassium ... especially in high ... Early nephrologv
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Framework • Cellular Shift ... hyperosmolality - Medications ... Diagnosis #Causes #potassium ... #high
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
urine Na/Cl < 0.7, high ... correcting serum potassium ... Other medications ... differential #algorithm #nephrology
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