15 results
diagnosis hyperkalemia differential causes management nephrology high algorithm rhabdomyolysis arb druginduced initiation k kdigo low monitoring pathophysiology pharmacology summary
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... Thyrotoxicosis Medications ... Transcellular shifts ... • Discontinued diuretic ... nephrology #low #potassium
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Hypokalemia Differential ... Renal loss • Medication ... Hypomagnesemia • Osmotic diuresis ... Transcellular shift ... Algorithm #Causes #Classification
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... • IV Fluids Shift ... function) - Loop diuretic ... LouLectures #Hyperkalemia
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... Angiotensin-converting enzyme (ACE ... • Increased EC shift ... #pharmacology #potassium ... #medications #druginduced
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for ... the Treatment of ... disturbances, shift ... Table 3 summarizes medications ... #Management #Medications
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 Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... : K+, ACEi/ARBs, ... STOP offending medications ... Redistribution Treatments ... #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• K sparing diuretics ... • NSAIDs • ACE ... • Recent IV potassium ... Intracellular Shift ... Medications 2.
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• K sparing diuretics ... • NSAIDs • ACE ... • Recent IV potassium ... Intracellular Shift ... Medications 2.
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... drugs - Moderate potassium ... Reassess concomitant medications ... (e.g., diuretics
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... cardiac membrane Shift ... Remove potassium ... offending agent (ACE-I ... not quickly) #Hyperkalemia
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