54 results
diagnosis differential causes algorithm treatment hypokalemia potassium hyponatremia low syndrome criticalcare table workup acidosis classification gitelman high hypercalcemia medications overview
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
Treatment of hyperkalemia ... determine response to diuretic ... #hyperkalemia ... #kaliuresis #management ... #diuresis #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Transcellular Shift ... Losses Non-renal ... • Discontinued diuretic ... Diagnosis #Algorithm #nephrology
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
• IV Fluids Shift ... (if preserved renal ... function) - Loop diuretic ... #management #potassium ... #nephrology
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
associated with hypokalemia ... hypomagnesemia Hypokalemia ... - Shift from extracellular ... foscarnet - Diuretics ... differential #diagnosis #nephrology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts ... Villous adenoma Renal ... chewing tobacco, Renal ... differential #diagnosis #nephrology
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Hypokalemia Differential ... oral intake Renal ... Hypomagnesemia • Osmotic diuresis ... Nonreabsorbable anions • Renal ... Transcellular shift
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential ... Intracellular Shift ... Diuretics (discontinued ... Renal artery stenosis ... Causes #Workup #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
losses, Diuretic ... Ketonuria, Osmotic diuresis ... hormone secretion Hypervolemia ... failure Hypervolemia ... Algorithm #Causes #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Transcellular Shift ... Alkalosis • Hypokalemia ... Increased Excretion - Renal ... Syndrome • Osmotic Diuresis ... Acetazolamide and Thiazide Diuretics
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
derangements (hyperkalemia ... , hypercalcemia, ... Fluid Overload (pulmonary ... refractory to diuretics ... #managment #nephrology
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