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diagnosis differential hyperkalemia treatment alkalosis high rhabdomyolysis chloride comparison effects hypokalemia k lactated low lr normal ns pharmacology ringers saline
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... Normal acid-base status ... the indicated causes ... of sodium and potassium ... #Algorithm #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 ... A urine K/Cr ratio ... • Diarrhea A urine ... #nephrology #low
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
, Heat stroke, Metabolic ... Drugs (Statins), ... hour with goal urine ... Monitor potassium ... #Summary #causes
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... chloridorrhea) • Status ... other • Severe potassium ... Differential #Diagnosis #Causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Hyperosmolar states ... infusions) - Metabolic ... differential #diagnosis #causes ... #nephrology
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 ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Hyperosmolar states ... infusions) - Metabolic ... differential #diagnosis #causes ... #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... and necrosis in states ... transcellular shift ... • Saline Causes ... Decreased GFR, urine
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
lysis) ± Urine ... only if no clear cause ... Optimize volume status ... #Treatment #potassium ... #nephrology #K
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