14 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
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Transcellular Shift ... • Discontinued diuretic ... #nephrology #low ... #potassium
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:
 •
REMOVE UNECCESARY MEDS ... ) to normalize Potassium ... high 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
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
, Potassium depletion ... depletion, Familial hypophosphatemia ... • Drugs: Loop diuretics ... Hypercalcemic states ... differential #diagnosis #nephrology
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
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... Intracellular Shift ... - Hyperosmolar states ... K supplement 3. ... #high #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... of hypokalemia starts ... Post-hypercapnia • Diuretics ... #causes #nephrology ... #potassium
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