20 results
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Intracellular Shift ... Renal artery stenosis ... #Diagnosis #Causes ... #Workup #Nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
associated with hypokalemia ... - Shift from extracellular ... overdose) - Sodium ... differential #diagnosis #nephrology ... #Causes #hypomg
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... starts by measuring ... • Renal tubular ... #causes #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• IV Fluids Shift ... 90 minutes) • Sodium ... (if preserved renal ... #management #potassium ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... Transcellular shift ... aldosterone • Renal ... #Nephrology #Differential
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Intracellular Shift ... - Hyperosmolar states ... deficiency • Renal ... differential #diagnosis #causes ... potassium #high #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
and necrosis in states ... Is Dangerous in Hyperkalemia ... transcellular shift ... • Saline Causes ... • Saline May Cause
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
epilepticus which may cause ... epilepticus may cause ... aspiration, hyperkalemia ... #Management #Neurology ... Refractory #Seizures #Algorithm
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Intracellular Shift ... - Hyperosmolar states ... deficiency • Renal ... differential #diagnosis #causes ... potassium #high #nephrology
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... weakness, K+ >6.5 Or renal ... cardiac membrane Shift ... #Management