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Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... #Algorithm #nephrology ... #low #potassium
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Excretion (IV potassium ... Transcellular Shift ... #Hyperkalemia ... #Nephrology #Differential
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 ... LouLectures #Hyperkalemia ... #nephrology
Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
caused by excess potassium ... transcellular shifts ... with impaired renal ... and underlying renal ... dysfunction is common #Diagnosis
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... • Acute renal ... • Type 1 #Hyperkalemia ... #Diagnosis #algorithm ... #nephrology #potassium
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Intracellular Shift ... Renal artery stenosis ... Differential #Algorithm #Diagnosis ... #Causes #Workup ... #Nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
- Differential Diagnosis ... (transcellular shift ... #Differential #Diagnosis ... Algorithm #Causes #workup ... #nephrology
Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Diagnosis Algorithm ... using Urine Potassium ... #Algorithm #Potassium ... Creatinine #Ratio #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology