13 results
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Serum creatinine ... Angioneurotic edema ... , Hyperkalemia, ... active patients, Chronic ... contraindications #table
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... renal failure • Chronic ... Normal, Renin High ... #nephrology #potassium
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Differential Diagnosis Algorithm ... K = Hyperkalemic ... tract obstruction, Chronic ... Differential #Diagnosis #Algorithm ... #nephrology
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... obtain the desired serum ... Side Effects: Edema ... patients sensitive to high ... #pharmacology #table
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... transfusion • HTN and edema ... trauma - Ischemic colonic ... causes #potassium #high ... #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
normal Type 4: Hyperkalemic ... K high/normal ... - Diarrhea - High ... Surgical drains - Chronic ... Diagnosis #Workup #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... transfusion • HTN and edema ... trauma - Ischemic colonic ... causes #potassium #high ... #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Loop Diuretics; High-Ceiling ... Hyponatremia • Hypercalcemia ... liver cirrhosis, chronic ... Excretion #Diuresis #Nephrology ... #Medications #Table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... diuresis can be high ... : Hypovolemia, Hypervolemia ... #sodium #nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Algorithm for Management ... of Acute and Chronic ... optimal dose after serum ... #Algorithm #Management ... #treatment #nephrology