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differential hyperkalemia hypokalemia low management alkalosis balance chloride criticalcare diuresis evaluation fluid negative perioperative preop preoperative rhabdomyolysis risk stratification treatment
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Syndrome • HTN, High ... #Algorithm #causes ... #potassium #low ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Normal acid-base status ... the indicated causes ... of sodium and potassium ... #nephrology #differential ... #diagnosis
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Hyperosmolar states ... infusions) - Metabolic ... #causes #potassium ... #high #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... urinary losses: • High ... #Hypokalemia #diagnosis ... #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Hyperosmolar states ... infusions) - Metabolic ... #causes #potassium ... #high #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
TO PO • USE HIGH ... ) to normalize Potassium ... aldosterone states ... a contraction metabolic ... Early nephrologv
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Causes of Hyperkalemia ... Framework • Cellular Shift ... Exercise - Metabolic ... #Causes #potassium ... #high
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Heat stroke - Metabolic ... Toxins - Drugs - Statins ... Shift of extracellular ... Monitor potassium ... #treatment #nephrology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
ADLs - Highest metabolic ... 4 Mets = Climbing ... ASA class If high ... event, follow ACC algorithm ... stratification #diagnosis
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