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Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Algorithm for Management ... Hyperkalemia Acute ... optimal dose after serum ... #Algorithm #Management ... #treatment #nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... Renal tubular acidosis ... Hypomagnesemia, Acute ... differential #diagnosis #nephrology
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Drug-induced • High ... • Diabetic acidosis ... Sarcoidosis • Hypercalcemia ... Cyclosporine • Diuretics ... • Organic acids
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 ... Renal failure (acute ... Potassium-sparing diuretics ... diagnosis #causes #nephrology
Types of Renal Calculi

Calcium oxalate
 - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
Renal tubular acidosis ... Mycoplasma infections, High ... - Antiviral treatment ... herpes virus or HIV ... /AIDS, diuretics
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Redistribution: Acidosis ... hyperchloremic acidosis ... (IV loop diuretic ... caution in HTN & edema ... #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
; High-Ceiling Diuretics ... Torsemide) • Acute ... Hyponatremia • Hypercalcemia ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
AlgorithmIV ... bicarbonate if acidosis ... Consider Dialysis Serum ... #potassium #high ... #treatment
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... transfusion • HTN and edema ... • K sparing diuretics ... - Metabolic acidosis ... #nephrology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... algorithm for management ... of acute hyperkalemia ... bicarbonate if acidosis ... #high #nephrology