12 results
Phosphate binders - quick reference chart of maximum daily dose. Most patients with CKD will require
Phosphate binders ... restricted due to hypercalcemia ... Only* #CKD #Nephrology ... PhosphateBinders #Hyperphosphatemia ... #Dose #Dosing #Pharmacology
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Hypophosphatemia ... Malabsorption, Phosphate binder ... Redistribution/ Shift ... DTomacruzMD #Hypophosphatemia ... Algorithm #causes #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Rule out spurious hypophosphatemia ... Antacids, Phosphorus binders ... Transcellular Shift ... Workup #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Antacids, Phosphate Binders ... Transcellular Shift ... , CAR-T cell #Hypophosphatemia ... Diagnosis #Algorithm #nephrology
Key Characteristics of Old and New Potassium-Binding Agents

- Dr. Edgar V. Lerma https://twitter.com/edgarvlermamd

#Potassium #Binding #KBinders #Kayexelate
Potassium #Binding #KBinders ... Comparison #Table #Pharmacology ... #Patiromer #HyperKalemia ... #Nephrology #Agents
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Used Phosphate Binders ... term in severe hyperphosphatemia ... #Phosphate #Binders ... Table #Comparison #Pharmacology ... #Nephrology
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Potassium Binders ... Management of Hyperkalemia ... #Management #Hyperkalemia ... #treatment #pharmacology ... table #comparison #nephrology
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... blocks, QRS axis shift ... , asystole #hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
• LDH ↑ • Hyperkalemia ... • Hyperphosphatemia ... Shift of extracellular ... fluid/Lactated ringers ... causes #treatment #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... 7.5 Lactated Ringers ... Is Dangerous in Hyperkalemia ... transcellular shift ... NS #comparison #pharmacology