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diagnosis causes management nephrology treatment algorithm aniongap classification effects k lactated lr metabolic nongap normal ns pharmacology rhabdomyolysis ringers summary
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
(NS) - Comparison ... 130 mEq/L • Potassium ... in Hyperkalemia ... transcellular shift ... densa receives high
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... Causes of High-anion ... Potassium-sparing ... (rapid saline administration ... #differential #
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... bicarbonate if acidosis ... and ECG changes ... blocks, QRS axis shift ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... phlebotomy High ... Intracellular Shift ... - Metabolic acidosis ... #differential #
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... phlebotomy High ... Intracellular Shift ... - Metabolic acidosis ... #differential #
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
- Differential ... Framework • Cellular Shift ... - Metabolic Acidosis ... Diagnosis #Causes #potassium ... #high
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
K-sparing diuretics, Saline ... heparinized tube) • ECG ... Elimination (see Table ... Terbutaline 7 µg/kg ... Management #Treatment #potassium
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Rhabdomyolysis - Differential ... Shift of extracellular ... azotemia: Isotonic saline ... Monitor potassium ... Dialysis for severe hyperkalemia
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... drawn from a site/line ... where potassium ... minutes-hour) -Shift ... #high
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
extracellular shift ... Acidosis B. ... #Differential # ... Diagnosis #High ... #Potassium #Classification
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