24 results
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Differential Diagnosis Algorithm ... Transcellular Shift ... Syndrome • Osmotic Diuresis ... Acetazolamide and Thiazide Diuretics ... Differential #Diagnosis #Algorithm
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
determine response to diuretic ... kaliuresis #management #criticalcare ... #treatment #diuretics ... #diuresis #nephrology ... #algorithm
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Transcellular Shift ... • Discontinued diuretic ... #nephrology #low ... #potassium
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Differential Diagnosis Algorithm ... Excretion (IV potassium ... Transcellular Shift ... #Hyperkalemia #Nephrology ... Differential #Diagnosis #Algorithm
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Hypophosphatemia ... Differential Diagnosis Algorithm ... Redistribution/ Shift ... DTomacruzMD #Hypophosphatemia ... #causes #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Rule out spurious hypophosphatemia ... Transcellular Shift ... Inh., Osmotic diuresis ... Workup #phosphate #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
minutes) Decrease potassium ... • IV Fluids Shift ... potassium intracellularly ... function) - Loop diuretic ... #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... REMOVE UNECCESARY MEDS ... ) to normalize Potassium ... Early nephrologv ... Balance #management #criticalcare
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Differential Diagnosis Algorithm ... Transcellular Shift ... , CAR-T cell #Hypophosphatemia ... #nephrology #phosphorus
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 ... , Thiazide diuretics ... #differential #algorithm ... #diagnosis #nephrology