11 results
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
; High-Ceiling Diuretics ... Acute pulmonary edema ... Kidney stones caused ... #Nephrology #Pharmacology ... #Medications #Table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... algorithm Urine Na+K / serum ... can be high or ... differential #diagnosis #table ... #sodium #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
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Urine Microscopy Findings ... - Up to 3 per high-power ... - Renal infection ... disorders or excreted medications ... key #diagnosis #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 ... Treatment #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework

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

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
transfusion • HTN and edema ... • K sparing diuretics ... Medications 2. ... differential #diagnosis #causes ... #nephrology
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 ... continued in most cases ... differential #algorithm #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Overload (pulmonary edema ... refractory to diuretics ... chosen to match serum ... High clearance achieved ... RRT #managment #nephrology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
complements and a high ... fibromyalgia) • Infections ... lower extremity edema ... , and elevated serum ... activation and/or medications