34 results
diagnosis differential causes hypokalemia potassium treatment low criticalcare high hyponatremia sodium table workup gitelman hypernatremia medications pharmacology renal rhabdomyolysis urine
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
fludrocortisone step 3 = diuretic ... determine response to diuretic ... #kaliuresis #management ... #diuresis #nephrology ... #algorithm
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts ... thiazide-like diuretics ... Postobstructive diuresis ... , Osmotic diuresis ... (mimics loop diuretic
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... Transcellular Shift ... • Refeeding syndrome ... • Discontinued diuretic ... #nephrology #low
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Transcellular Shift ... • Refeeding Syndrome ... Alkalosis • Hypokalemia ... • Osmotic Diuresis ... Acetazolamide and Thiazide Diuretics
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... Renal losses, Diuretic ... Ketonuria, Osmotic diuresis ... renal failure Hypervolemia ... #Causes #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
Diuresis in Critical ... , address diuretic ... high aldosterone states ... Early nephrologv ... Fluid #Balance #management
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Hypokalemia Differential ... Diagnosis Algorithm ... Hypomagnesemia • Osmotic diuresis ... • Bartter's syndrome ... Transcellular shift
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Diuretics and Agents ... irrigation • Management ... Symport (Loop Diuretics ... Hyponatremia • Hypercalcemia ... #Nephrology #Pharmacology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume Status ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #nephrology #sodium
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
- Shift from extracellular ... foscarnet - Diuretics ... and other loop diuretics ... renal Fanconi syndrome ... antiretroviral therapy - Diuretics
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