13 results
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... creatinine) • Cell shift ... effective arterial blood ... #urine #potassium ... #differential #algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... urinary losses: • High ... Blood Pressure: ... consumption • Low ... #nephrology #low
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Algorithm • Treat ... the cause & optimize ... Intracellular K+ Shift ... #treatment #potassium ... #high
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... differential #diagnosis #causes ... #potassium #high
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Algorithm • IV ... • Consider K+ binder ... blocks, QRS axis shift ... #potassium #high ... #treatment
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... differential #diagnosis #causes ... #potassium #high
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... UA positive for blood ... Shift of extracellular ... fluid/Lactated ringers ... Monitor potassium
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
130 mEq/L • Potassium ... Is Dangerous in Hyperkalemia ... transcellular shift ... densa receives high ... flow and renal
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Blood drawn from ... minutes-hour) -Shift ... or dialysis • SLOW ... #Management #treatment ... #potassium #high
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
extraction is so high ... treat the primary cause ... little coronary blood ... #diagnosis #algorithm ... #treatment