21 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... • Discontinued diuretic ... #nephrology #low
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Intracellular Shift ... Diuretics (discontinued ... Renal artery stenosis ... Causes #Workup #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• IV Fluids Shift ... (if preserved renal ... function) - Loop diuretic ... #management #potassium ... #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
continues, the more refractory ... cause aspiration, hyperkalemia ... #Management #Neurology ... #Epilepticus #Refractory ... #Seizures #Algorithm
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... starts by measuring ... • Renal tubular ... Post-hypercapnia • Diuretics ... #causes #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... Intracellular Shift ... - Hyperosmolar states ... deficiency • Renal ... potassium #high #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
REMOVE UNECCESARY MEDS ... high aldosterone states ... patients who are refractory ... Early nephrologv ... Fluid #Balance #management
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for Convulsive ... IV (3000 mg) Refractory ... #Treatment #Algorithm ... #Management #Neurology
Hyperkalemia - Differential Diagnosis Framework

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

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
post-hypothermia • ↓ Renal ... Excretion: - Renal ... 15 suggests ↓ renal ... Optimize volume status ... Treatment #potassium #nephrology