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differential potassium causes acidosis medications renal binders binding comparison diuresis diuretics excretion hypokalemia hyponatremia hypotonic intercellularshift metabolic nagma nonaniongap normal
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... renal failure • Chronic ... #Diagnosis #algorithm ... #nephrology #potassium
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
- Differential Diagnosis ... Algorithm Decreased ... K = Hyperkalemic ... tract obstruction, Chronic ... #Algorithm #nephrology
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
obtain the desired serum ... Side Effects: Edema ... patients sensitive to high ... #medications #pharmacology ... #table #comparison
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... transfusion • HTN and edema ... causes #potassium #high ... #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Loop Diuretics; High-Ceiling ... Hyponatremia • Hypercalcemia ... #Pharmacology # ... Medications #Table
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
- Differential Diagnosis ... normal Type 4: Hyperkalemic ... K high/normal ... Surgical drains - Chronic ... #Workup #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... transfusion • HTN and edema ... causes #potassium #high ... #nephrology
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 ... #table #sodium ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... - Differential Diagnosis ... Algorithm Reduced ... Creatinine • Chronic ... IntercellularShift #Nephrology
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic ... algorithm for hypokalemia ... urine Na/Cl < 0.7, high ... after correcting serum ... #algorithm #nephrology
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