7 results
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
TO PO • USE HIGH ... REMOVE UNECCESARY MEDS ... ) to normalize Potassium ... aldosterone states ... Early nephrologv
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... creatinine) • Cell shift ... , Thiazide diuretics ... #differential #algorithm ... #diagnosis #nephrology
Hyperkalemia - Differential Diagnosis Framework

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

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... • K sparing diuretics ... Intracellular Shift ... - Hyperosmolar states ... #high #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... Normal acid-base status ... of sodium and potassium ... #nephrology #differential ... #diagnosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Toxins - Drugs - Statins ... Shift of extracellular ... Monitor potassium ... Loop diuretics for ... causes #treatment #nephrology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
4 Mets = Climbing ... any evidence of fluid ... ASA class If high ... event, follow ACC algorithm ... stratification #diagnosis