10 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... kaliuresis #management #criticalcare ... #treatment #diuretics ... #diuresis #nephrology ... #algorithm
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... 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
Hyperkalemia Treatment ... 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,
for aggressive treatment ... cause aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

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

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

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Drugs (Statins), ... Shift of extracellular ... fluid into injured ... Loop diuretics for ... Dialysis for severe hyperkalemia
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
excreted using diuretics ... needing a little fluid ... achieved negative fluid ... #differential #algorithm ... heartfailure #chf #criticalcare
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Heart: • Order a STAT ... minutes-hour) -Shift ... excretion via a loop diuretic ... (give with fluids ... #Management #treatment