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diagnosis causes differential hyperkalemia management 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
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - ... exhaustion, Heat ... Shift of extracellular ... Monitor potassium ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Shift of extracellular ... oxidative iniury Treatment ... Monitor potassium ... Dialysis for severe hyperkalemia ... Summary #causes #treatment
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... bicarbonate if acidosis ... blocks, QRS axis shift ... #potassium #high ... management #algorithm #treatment
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
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts ... plasma insulin (treatment ... Renal tubular acidosis ... Heavy exercise, Heat ... differential #diagnosis #nephrology
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 ... Treatment - ... Syndrome #diagnosis #nephrology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... management of acute hyperkalemia ... bicarbonate if acidosis ... #potassium #high ... #nephrology #KDIGO
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... /Stabilize the Heart ... minutes-hour) -Shift ... #Management #treatment ... #potassium #high
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