13 results
ACEI or ARB Initiation
Hyperkalemia:
 - Review concurrent drugs
 - Moderate potassium Intake
 - Consider: diuretics, sodium
drugs - Moderate potassium ... - Review for causes ... of AKI - Correct ... Reassess concomitant medications ... ) - Consider renal
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
• HTN, High Aldosterone ... Loop and thiazide diuretics ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... • NSAIDs • ACE ... Medications 2. ... #potassium #high ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... high or low Uosm ... Losses (AKI, Post-AKI ... Cirrhosis, Nephrotic syndrome ... table #sodium #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
- Insulin (high ... Fanconi syndrome ... hypomagnesemia #Medications ... differential #diagnosis #nephrology ... #Causes #hypomg
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... • NSAIDs • ACE ... Medications 2. ... #potassium #high ... #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
; High-Ceiling Diuretics ... Kidney stones caused ... Tolvaptan) • Treatment ... #Diuresis #Nephrology ... #Pharmacology #Medications
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Kidney Injury (AKI ... IV Fluids • If high ... preload → Diuretics ... reduction (not ACEIs ... • Hepatorenal syndrome
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... causes • Laxative ... urinary losses: • High ... Alkalosis: Emesis, Diuretics ... #nephrology #low
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Dermatomyositis) AKI ... Monitor potassium ... Loop diuretics for ... Management #Summary #causes ... #treatment