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Hyperkalemia Hypokalemia - Differential Diagnosis and Management Algorithm

Dr Pravin Patel

#Hypokalemia #Hyperkalemia #potassium #differential #diagnosis #management
Hyperkalemia Hypokalemia ... - Differential ... Diagnosis and Management ... Pravin Patel #Hypokalemia ... potassium #differential
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Transcellular Shift ... MatthewHoMD #Hypokalemia ... #Differential # ... nephrology #low #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Causes of Hypokalemia ... - Differential ... Transcellular Shift ... Refeeding Syndrome #Hypokalemia ... Algorithm #causes #potassium
Hypokalaemia:

The gradual fall in serum potassium level is reflected electrocardiographically by the following features:

1. Gradual decrease
Hypokalaemia: ... fall in serum potassium ... leads V2-V4 #Clinical ... #Cardiology #ECG ... #EKG #UWaves #Hypokalemia
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
8.0 mg/dL • Potassium ... Calcium ≤ 7.0 mg/dL Clinical ... Treatment of TLS: • Hypovolemia ... hydroxide • Hyperkalemia ... TLS #diagnosis #management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... route = severe hypokalemia ... /hr for severe hypokalemia ... #Checklist #Hypokalemia ... #Management #CriticalCare
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
patients with hypokalemia ... creatinine) • Cell shift ... syndrome #hypokalemia ... #urine #potassium ... #differential #
Causes of Hypokalemia

Hypokalemia results from abnormal losses, transcellular shifts, or insufficient intake (Table 1).6–8 Abnormal losses
Causes of Hypokalemia ... Hypokalemia results ... transcellular shifts ... significantly lower potassium ... #Differential #
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
of Hypokalemia ... Hypokalemia is ... (ECG), severe hypokalemia ... transcellular shifts ... depletion impedes potassium
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
disturbances, shift ... potassium into ... provoke rebound hypokalemia ... algorithm for the management ... #Management #Medications