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diagnosis differential potassium management pharmacology renal algorithm atlas binders casts comparison crrt diuresis diuretics encephalopathy excretion hypokalemia hyponatremia hypotonic k
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 •
phlebotomy High ... transfusion • HTN and edema ... Medications 2. ... differential #diagnosis #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... transfusion • HTN and edema ... Medications 2. ... differential #diagnosis #causes ... #nephrology
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,
Etiology: • Medications ... Elimination (see Table ... Treatments: • K-Binding ... caution in HTN & edema ... Treatment #potassium #nephrology
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 ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table ... #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Loop Diuretics; High-Ceiling ... Hyponatremia • Hypercalcemia ... Kidney stones caused ... Excretion #Diuresis #Nephrology ... #Table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... Blood transfusion, Hypercalcemia ... Electrolyte abnormality, Medication ... the underlying cause ... diagnosis #management #neurology
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)
, hypercalcemia, ... Overload (pulmonary edema ... chosen to match serum ... High clearance achieved ... RRT #managment #nephrology
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