10 results
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
creatinine) • Cell shift ... effective arterial blood ... HCO3- • Low Urine ... #urine #potassium ... algorithm #diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... • Diarrhea A urine ... urinary losses: • High ... Blood Pressure: ... #nephrology #low
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Crush injury • Blood ... Intracellular Shift ... Medications 2. ... #high #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
derangements (hyperkalemia ... • Blood Flow ... SLEDD (Sustained low ... High clearance achieved ... #managment #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Crush injury • Blood ... Intracellular Shift ... Medications 2. ... #high #nephrology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Na/Cl > 1.6, low ... Na/Cl < 0.7, high ... correcting serum potassium ... Other medications ... differential #algorithm #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Endocrine: Hypo ... UA positive for blood ... Shift of extracellular ... Monitor potassium ... causes #treatment #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
130 mEq/L • Potassium ... Is Dangerous in Hyperkalemia ... transcellular shift ... densa receives high ... Decreased GFR, urine
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... , DIC, hypoTN, renal ... High mortality. ... potassium from ... Hypothermia: Due to low
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
flank pain, dark urine ... High mortality. ... , Hyperkalemia: ... potassium from ... Hypothermia: Due to low