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diagnosis differential potassium causes management nephrology algorithm cardiology high treatment antihypertensive arb bloodpressure cad clinical contraindications druginduced ekg electrocardiogram emergencymedicine
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... Angiotensin-converting enzyme (ACE ... • Increased EC ... shift of K (Succinylcholine ... pharmacology #potassium #medications
Compelling and Possible Contraindications to Antihypertensive Drugs Diuretics (thiazides) - Gout - Metabolic syndrome, Glucose intolerance, Pregnancy,
(ACEI, ARB, diabetes ... ) ACE inhibitors ... failure - Co-medication ... Pgp-dependent drugs (e.g ... antihypertensive #medications
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for ... disturbances, shift ... Indications for ... Table 3 summarizes medications ... #Management #Medications
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 Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
people with high hypercalcemia ... brain injury, medications ... This EKG was recorded ... Cardiology #diagnosis #CriticalCare ... Electrocardiogram #ECG
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • NSAIDs • ACE ... Intracellular Shift ... Medications 2.
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • NSAIDs • ACE ... Intracellular Shift ... Medications 2.
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... Reassess concomitant medications ... (e.g., diuretics ... artery stenosis #ACEI
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Etiology: • Medications ... : K+, ACEi/ARBs, ... heparinized tube) • ECG ... STOP offending medications
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
risk factors (eg ... disorders including hypokalemia ... Vasculitis • Endocrinologic ... Hyperthyroidism, Hypercalcemia ... Differential #Diagnosis #indications
HFpEF and CAD Management Algorithm 1. Consider revascularization based on current guidelines for CAD and HFpEF* 2. Statins:
current guidelines (eg ... ARB: if ACE inhibitor ... controlled by above medications ... controlled by ACE ... fluid status (hypervolemia
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