10 results
Key Characteristics of Old and New Potassium-Binding Agents

- Dr. Edgar V. Lerma https://twitter.com/edgarvlermamd

#Potassium #Binding #KBinders #Kayexelate
of Old and New Potassium-Binding ... Agents - Dr. ... Kayexelate #Comparison #Table ... Pharmacology #Patiromer #HyperKalemia ... #Nephrology #Agents
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... Agents to Treat ... obtain the desired serum ... Side Effects: Edema ... #Binding #Hyperkalemia
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
transfusion • HTN and edema ... Medications 2. ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
transfusion • HTN and edema ... Medications 2. ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Phosphate binders - quick reference chart of maximum daily dose. Most patients with CKD will require
require phosphate binding ... agents since they ... dose is based on serum ... restricted due to hypercalcemia ... Only* #CKD #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
only if no clear cause ... Elimination (see Table ... Treatments: • K-Binding ... caution in HTN & edema ... #nephrology #K
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... Hyponatremia • Hypercalcemia ... Kidney stones caused ... #Pharmacology #Medications ... #Table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Immunosuppressive agents ... Blood transfusion, Hypercalcemia ... Electrolyte abnormality, Medication ... the underlying cause ... with AEDs until cause
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
after correcting serum ... potassium levels ... Other medications ... continued in most cases ... differential #algorithm #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
derangements (hyperkalemia ... , hypercalcemia, ... Overload (pulmonary edema ... chosen to match serum ... RRT #managment #nephrology