16 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
fludrocortisone step 3 ... = diuretic cocktail ... kaliuresis #management #criticalcare ... #diuresis #nephrology ... #algorithm
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Transcellular Shift ... • Normal or High ... Low PTH: - High ... Inh., Osmotic diuresis ... Workup #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Differential Diagnosis Algorithm ... Transcellular Shift ... Inappropriately High ... #nephrology #phosphorus
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... between them PEDS ... Anti-epileptic #3 ... management #treatment #algorithm ... #neurology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
TO PO • USE HIGH ... REMOVE UNECCESARY MEDS ... aldosterone states ... Early nephrologv ... Balance #management #criticalcare
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Intracellular Shift ... Diuretics (discontinued ... ) 3. ... Causes #Workup #Nephrology
Cerebral Venous Thrombosis (CVT) - Management Algorithm
Prognostic score for CVT:
Variables: Malignancy 2, Coma 2, Deep venous
) - Management Algorithm ... thrombosis 2, Mental status ... haemorrhage 1 <3: ... High risk of poor ... #neurology
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
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
administration Step 3. ... Assess volume status ... volume loss - diuretics ... Diagnosis #Workup #Algorithm ... #Nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... Intracellular Shift ... - Hyperosmolar states ... K supplement 3. ... #nephrology