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diagnosis differential hyperkalemia hypokalemia treatment high low algorithm drugs hypomagnesemia hypomg pharmacology rhabdomyolysis crrt diuresis diuretics encephalopathy excretion immunosuppression immunosuppressive
Causes of Hyperkalemia Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
Causes of Hyperkalemia ... transcellular shifts ... with impaired renal ... function, medication ... and underlying renal
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 Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... Thyrotoxicosis Medications ... Renal Losses ... Diagnosis #Algorithm #nephrology ... #low #potassium
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
minutes) Decrease potassium ... • IV Fluids Shift ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
oral intake Renal ... loss • Medication ... Transcellular shift ... Diagnosis #Algorithm #Causes ... #Classification
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Mineralocorticoid excess - Renal ... Diagnosis #Low #Potassium ... #Table #Classification ... #Causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... Medications 2. ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... Medications 2. ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Shift of extracellular ... Monitor potassium ... per day until stable ... #Summary #causes
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
Hypokalemia - Shift ... pump inhibitor - Renal ... hypomagnesemia #Medications ... differential #diagnosis #nephrology ... #Causes #hypomg
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... Loses - Medications ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
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