21 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... #kaliuresis #management ... #criticalcare # ... #diuresis #nephrology ... #algorithm
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Diagnosis Algorithm ... Transcellular Shift ... anemia) • G-CSF ... • Discontinued diuretic ... #Algorithm #nephrology
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... - MH/CCF/CWRU ... #Seizure #Algorithm ... #CriticalCare # ... Neurology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
high aldosterone states ... (CHF, Cirrhosis ... Early nephrologv ... Fluid #Balance #management ... #criticalcare
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Intracellular Shift ... Diuretics (discontinued ... #Diagnosis #Causes ... #Workup #Nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... • K sparing diuretics ... Intracellular Shift ... - Hyperosmolar states ... potassium #high #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
of generalized status ... cause aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... • K sparing diuretics ... Intracellular Shift ... - Hyperosmolar states ... potassium #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Na delivery): CHF ... Optimize volume status ... #Diagnosis #Management ... Treatment #potassium #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... Algorithm Defining ... starts by measuring ... Post-hypercapnia • Diuretics ... #nephrology #potassium