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diagnosis causes differential hyperkalemia treatment algorithm gitelman heatstroke illness kdigo pathophysiology stroke summary syndrome
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... - Metabolic acidosis ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... - Metabolic acidosis ... #high #nephrology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... bicarbonate if acidosis ... Dialysis Serum potassium ... blocks, QRS axis shift ... #potassium #high
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Shift of extracellular ... Monitor potassium ... Dialysis for severe hyperkalemia ... Differential #Diagnosis #Management
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - ... Framework and Management ... Shift of extracellular ... Monitor potassium ... causes #treatment #nephrology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Loss of sodium/Potassium ... - Metabolic acidosis ... - Rhabdomyolysis ... High body temperatures ... - Hyperkalemia
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
(renal potassium ... Renal tubular acidosis ... • Seizures • Rhabdomyolysis ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
algorithm for management ... of acute hyperkalemia ... bicarbonate if acidosis ... #treatment #potassium ... #high #nephrology
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... site/line where potassium ... /Stabilize the Heart ... minutes-hour) -Shift ... #potassium #high
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
extracellular shift ... Acidosis B. ... Congestive heart ... Differential #Diagnosis #High ... #Potassium #Classification
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