66 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Lorazepam 0.1 mg/kg ... → Benzo Dose 2 ... #2 → Anti-epileptic ... seizures #management #treatment ... peds #pediatrics #neurology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Transcellular Shift ... Alkalosis • ↑ beta-2 ... Transcellular shifts ... Diagnosis #Algorithm #nephrology
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... clinical scenario, ECG ... Gluconate IV Shift ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... hypovolemic step 2 ... to diuretic #hyperkalemia ... #criticalcare #treatment ... diuretics #diuresis #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... generalized status epilepticus ... duration of status epilepticus ... cause aspiration, hyperkalemia ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Convulsive Status Epilepticus ... medications in status epilepticus ... #Treatment #Algorithm ... #Management #Neurology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... out, causes of hypokalemia ... (low intake) 2. ... (transcellular shift ... Causes #workup #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Decreased Mg 2. ... Intracellular Shift ... NephTwitter) #Hypokalemia ... Causes #Workup #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... • IV Fluids Shift ... LouLectures #Hyperkalemia ... management #potassium #nephrology
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
AV block (grade 2- ... Pgp-dependent drugs (e.g ... AV block (grade 2- ... AV block (grade 2- ... contraindications #table