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diagnosis differential treatment potassium algorithm nephrology comparison anesthesia anesthesiology checklist medications workup intraoperative cardiology hypokalemia pathophysiology criticalcare hematology clinical drugs
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Emergency Management ... mmol/L - Consider cause ... Gluconate IV Shift ... Monitor K+ and Blood ... #management #algorithm
Diagnosis of Hypokalemia - Differential Algorithm Categorized by Causes: Redistribution, Extrarenal Losses, Renal Losses (High and
Diagnosis of Hypokalemia ... Categorized by Causes ... Renal Losses (High ... and Low Blood Pressure ... #Diagnosis #Hypokalemia
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... • Increased EC shift ... Benyzlpenicillin, blood ... MunerMohamed1 #hyperkalemia ... pathophysiology #pharmacology
Hyperkalemia Differential Diagnosis Algorithm R/O Pseudo-hyperkalemia: • Possible Lab error! Alwavs Repeat Blood sample! • Leukocytosis, Thrombocytosis:
Alwavs Repeat Blood ... while drawing blood ... TTKG should be high ... Diagnosis #Algorithm #causes ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Crush injury • Blood ... Intracellular Shift ... Blood transfusion ... differential #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Crush injury • Blood ... Intracellular Shift ... Blood transfusion ... differential #diagnosis #causes
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... • IV Fluids Shift ... peaks 1-2h) • Blood ... LouLectures #Hyperkalemia ... #management #potassium
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
constipation, diarrhea, nausea ... ); nausea, vomiting ... patients sensitive to high ... #medications #pharmacology ... #table #comparison
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... glycosides • High ... dietary intake • Blood ... MCW_Nephrology #HyperKalemia ... Differential #Diagnosis #Causes
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Causes of Hyperkalemia ... Framework • Cellular Shift ... : Blood draw error ... Differential #Diagnosis #Causes ... #potassium #high
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