23 results
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 ... #Balance #management
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... • Discontinued diuretic ... #Algorithm #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
concentration: • IV Fluids ... Shift potassium ... function) - Loop diuretic ... #management #potassium ... #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
- Shift from extracellular ... fluid to intracellular ... fluid compartment ... #differential #diagnosis ... #nephrology #Causes
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 Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
- Differential Diagnosis ... Algorithm Hypovolemia ... Renal losses, Diuretic ... Third spacing of fluids ... #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Intracellular Shift ... Diuretics (discontinued ... #Diagnosis #Causes ... #Workup #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Toxins - Drugs - Statins ... Shift of extracellular ... Loop diuretics for ... #treatment #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
Hyperkalemia - Differential Diagnosis Framework

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