22 results
algorithm nephrology treatment differential high causes hypokalemia syndrome clinical hematology medications pathophysiology blood brash cardiology druginduced electrocardiogam electrocardiogram encephalopathy evaluation
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... counting of HR by EKG ... waves • Pseudo-STEMI ... both the absolute K+ ... #EKG #ECG #electrocardiogram
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... Transcellular Shift ... vomiting) • Low K ... #Algorithm #nephrology ... #low #potassium
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Emergency Management ... of Hyperkalemia ... clinical scenario, ECG ... Gluconate IV Shift ... #management #algorithm
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... depletion • Consider K+ ... and ECG changes ... blocks, QRS axis shift ... #diagnosis #management
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... • Increased EC ... shift of K (Succinylcholine ... #differential #diagnosis ... #pharmacology #potassium
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ECG ... injury, etc) ECG ... cardiac membrane Shift ... treatment Remove potassium ... Treatment #Algorithm #Management
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... • Recent IV potassium ... Intracellular Shift ... #causes #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 ... • Order a STAT EKG ... stabilize heart if EKG ... minutes-hour) -Shift
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
patients with hypokalemia ... creatinine) • Cell shift ... #urine #potassium ... differential #algorithm #diagnosis ... #nephrology
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