11 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... #kaliuresis #management ... #criticalcare # ... #diuresis #nephrology ... #algorithm
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
REMOVE UNECCESARY MEDS ... high aldosterone states ... Early nephrologv ... #Balance #management ... #criticalcare
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Intracellular Shift ... Diuretics (discontinued ... Diagnosis #Causes #Workup ... #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
concentration: • IV Fluids ... Shift potassium ... function) - Loop diuretic ... #management #potassium ... #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
of generalized status ... cause aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Toxins - Drugs - Statins ... Shift of extracellular ... Loop diuretics for ... causes #treatment #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... reabsorption) Workup ... clear cause) Management ... Optimize volume status ... Treatment #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... Drugs (Statins), ... Shift of extracellular ... Loop diuretics for ... Dialysis for severe hyperkalemia
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
, hypercalcemia, ... refractory to diuretics ... altered mental status ... #Therapy #RRT #managment ... #nephrology #CRRT
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... Heart: • Order a STAT ... minutes-hour) -Shift ... excretion via a loop diuretic ... (give with fluids