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differential causes hypokalemia hyperkalemia management urine alkalosis chloride epilepticus evaluation metabolic neurology pediatrics perioperative preop preoperative rhabdomyolysis risk stratification treatment
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
- Differential Diagnosis ... Shift: • Alkalosis ... • ↑ beta-2 adrenergic ... #Algorithm #nephrology ... #low #potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... #differential #algorithm ... #diagnosis #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... Intracellular Shift ... - Hyperosmolar states ... Medications 2. ... #high #nephrology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... mg) slowly over 2- ... #Management #neurology ... #pediatrics #peds ... #algorithm
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... Intracellular Shift ... - Hyperosmolar states ... Medications 2. ... #high #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
- Differential Diagnosis ... Algorithm Decreased ... Transcellular shift ... Insulin • Beta-2 ... #Hypokalemia #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... 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
exertion/training - Seizures ... Toxins - Drugs - Statins ... Shift of extracellular ... Monitor potassium ... causes #treatment #nephrology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
ASA class If high ... event, follow ACC algorithm ... of Surgery: • High ... Orthopedic • Low ... stratification #diagnosis
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