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hyperkalemia diagnosis algorithm differential management treatment comparison pharmacology causes high hypophosphatemia table binding phosphate workup chronic effects framework kayexelate kdigo
Key Characteristics of Old and New Potassium-Binding Agents - Dr. Edgar V. Lerma https://twitter.com/edgarvlermamd #Potassium #Binding #KBinders #Kayexelate
Agents - Dr. ... edgarvlermamd #Potassium ... #Binding #KBinders ... Pharmacology #Patiromer #HyperKalemia ... #Nephrology #Agents
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Potassium Binders ... Management of Hyperkalemia ... #Binders #Management ... #Hyperkalemia # ... table #comparison #nephrology
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... Agents to Treat ... nonspecifically binds ... of aspiration #Potassium ... table #comparison #binders
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Malabsorption, Phosphate binder ... Redistribution/ Shift ... into cells - Acute ... Catecholamines - Acute ... Algorithm #causes #nephrology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... • Consider K+ binder ... Dialysis Serum potassium ... blocks, QRS axis shift ... #potassium #high
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Antacids, Phosphate Binders ... Transcellular Shift ... Refeeding Syndrome, Acute ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
paraproteinemia, acute ... Antacids, Phosphorus binders ... Transcellular Shift ... Insulin/Glucose, Acute ... Workup #phosphate #nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Management of Acute ... Acute Hyperkalemia ... - Consider K+ binders ... bicarbonate - Consider binders ... Chronic #treatment #nephrology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
management of acute ... hyperkalemia in ... • Consider K+ binder ... algorithm #treatment #potassium ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
• LDH ↑ • Hyperkalemia ... Shift of extracellular ... fluid/Lactated ringers ... Monitor potassium ... causes #treatment #nephrology
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