12 results
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... excretion • Acute ... Supplementation (oral/iv ... #nephrology #potassium
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Causes of High-anion ... failure (acute ... Renal acidosis ... diagnosis #causes #nephrology
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Drug-induced • High ... • Diabetic acidosis ... • Chronic renal ... Sarcoidosis • Hypercalcemia ... • Organic acids
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... transfusion • HTN and edema ... - Metabolic acidosis ... causes #potassium #high ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... transfusion • HTN and edema ... - Metabolic acidosis ... causes #potassium #high ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
be treated with IV ... suggests extra-renal ... urinary losses: • High ... - Metabolic acidosis ... differential #potassium #nephrology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
management of acute ... hyperkalemia in ... bicarbonate if acidosis ... treatment #potassium #high ... #nephrology #KDIGO
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Loop Diuretics; High-Ceiling ... Torsemide) • Acute ... Hyponatremia • Hypercalcemia ... Association class IV ... Excretion #Diuresis #Nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... tubular acidosis ... Hypomagnesemia, Acute ... and lymphomas, IV ... differential #diagnosis #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
(AIEOU): • A: Acidosis ... Overload (pulmonary edema ... chosen to match serum ... High clearance achieved ... RRT #managment #nephrology