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diagnosis differential hyperkalemia hypokalemia algorithm neurology low medications rhabdomyolysis associated bariatric bypass cerebritis classification cns complications diabetic diuresis diuretics drugs
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... • IV Fluids Shift ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... • HTN, High Aldosterone ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Shift of extracellular ... Monitor potassium ... #Summary #causes ... #treatment
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Summary Causes ... Shift of extracellular ... Monitor potassium ... #causes #treatment ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... suggests extra-renal ... causes • Laxative ... urinary losses: • High ... #nephrology #low
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
by Mechanism Renal ... - Tumor lysis syndrome ... Differential #Diagnosis #High ... #Magnesium #Table ... #Causes #Management
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
Hypokalemia - Shift ... - Insulin (high ... Fanconi syndrome ... differential #diagnosis #nephrology ... #Causes #hypomg
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... • Treat the cause ... • Reconsider treatment ... Intracellular K+ Shift ... #potassium #high
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