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diagnosis hyperkalemia potassium pharmacology renal treatment algorithm binders binding capsulatum comparison crrt diuresis diuretics encephalopathy excretion histoplasma histoplasmosis hivaids hypokalemia
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... transfusion • HTN and edema ... Medications 2. ... #diagnosis #causes ... #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 ... #Hyperkalemia #medications ... #pharmacology #table
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... transfusion • HTN and edema ... Medications 2. ... #diagnosis #causes ... #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Loop Diuretics; High-Ceiling ... Kidney stones caused ... #Pharmacology #Medications ... #Table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K / serum ... diuresis can be high ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Reversible course Differential ... Electrolyte abnormality, Medication ... the underlying cause ... Syndrome #diagnosis #management ... #neurology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... only if no clear cause ... Elimination (see Table ... caution in HTN & edema ... Treatment #potassium #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
Overload (pulmonary edema ... chosen to match serum ... High clearance achieved ... #Therapy #RRT #managment ... #nephrology #CRRT
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
urine Na/Cl < 0.7, high ... after correcting serum ... Other medications ... hypokalemia #diagnosis #differential ... #algorithm #nephrology
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS Indications for Initiating Primary Prophylaxis: •
cells/mm3 and at high ... histoplasmosis (>10 cases ... with ARV (see Table ... and itraconazole serum ... Prevention #Treatment #management
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