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management hyperkalemia differential nephrology cardiology clinical criticalcare foamed table aspirin binders binding chf echocardiogram effects evaluation heartfailure hypokalemia icu lr
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Saline (NS) - Comparison ... 130 mEq/L • Potassium ... transcellular shift ... densa receives high ... #pharmacology #
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
• Treat the cause ... • Reconsider treatment ... Intracellular K+ Shift ... #treatment #potassium ... #high
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management Algorithm ... Dialysis Serum potassium ... blocks, QRS axis shift ... #high #diagnosis ... #treatment
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... patients sensitive to high ... of aspiration #Potassium ... #medications #pharmacology ... #table #comparison
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... Respiratory Alkalosis, High ... Lactate, Low Potassium ... #management #Treatment
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... Clenching of fist during ... phlebotomy High ... Intracellular Shift ... #causes #potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... Clenching of fist during ... phlebotomy High ... Intracellular Shift ... #causes #potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Management Summary Causes ... Shift of extracellular ... Isotonic fluid/Lactated ... Monitor potassium
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... then be excreted using ... the determined cause ... #algorithm #management ... icu #clinical #pharmacology
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
warranting urgent treatment ... transcellular shifts ... depletion impedes potassium ... #Diagnosis #Hypokalemia ... #Evaluation #Algorithm
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