10 results
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
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
- Transfusion Reactions ... without other cause ... : 33% • Treatment ... #hematology #diagnosis ... #comparison #table
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
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 #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... Excessive insulation, high ... (→ 3-14) e.g. during ... transfusion • Allergic reaction ... Anesthesia #Checklist #Diagnosis
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
(AHTR): Occurs during ... Causes purpura & ... High mortality. ... products contain potassium ... #Transfusion #diagnosis
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
(AHTR): Occurs during ... Causes purpura & ... High mortality. ... products contain potassium ... #Transfusions #diagnosis
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Mortality is high ... LBRF can be diagnosed ... can be used for diagnosis ... initiation of treatment ... Jarisch-Herxheimer reaction
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
the knee-jerk reaction ... extraction is so high ... treat the primary cause ... #diagnosis #algorithm ... criticalcare #foamed #treatment