29 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... - Management Seizure ... between them PEDS ... #treatment #algorithm ... #neurology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... • IV Fluids Shift ... 90 minutes) • Sodium ... (if preserved renal ... #potassium #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
Hypokalemia - Shift ... - Insulin (high ... overdose) - Sodium ... differential #diagnosis #nephrology ... #Causes #hypomg
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
and necrosis in states ... transcellular shift ... • Saline Causes ... densa receives high ... • Saline May Cause
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Algorithm ECG ... weakness, K+ >6.5 Or renal ... cardiac membrane Shift ... nebulized • Sodium ... #Algorithm #Management
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... epilepticus which may cause ... epilepticus may cause ... #Management #Neurology ... Refractory #Seizures #Algorithm
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... Drugs (Statins), ... Shift of extracellular ... #Summary #causes ... #treatment
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Intracellular Shift ... - Hyperosmolar states ... differential #diagnosis #causes ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Sodium loss (diuretics ... diuresis can be high ... #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... attention to volume status ... Assess volume status ... #management #nephrology ... #sodium