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differential hyperkalemia management algorithm high hypokalemia medications table criticalcare crystalloids diuresis diuretics effects excretion foamed lactated low lr lupus ns
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
• Increased EC shift ... of K (Succinylcholine ... #differential #diagnosis ... #potassium #medications ... #druginduced
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
creatinine) • Cell shift ... syndrome Low-normal ... Distal RTA Low-normal ... differential #algorithm #diagnosis ... #nephrology
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
• Treat the cause ... • Discontinue oral ... Intracellular K+ ... Shift 3) K+ Excretion ... #potassium #high
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... wasting from other causes ... consumption • Low/Normal ... #Hypokalemia #diagnosis ... #nephrology #low
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Saline (NS) - Comparison ... 130 mEq/L • Potassium ... trial • Minimal K ... transcellular shift ... #pharmacology #
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... only if no clear cause ... definitive guide to diagnosis ... #Hyperkalemia #Diagnosis ... #potassium #nephrology
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
- CRP: Usually normal ... life-threatening • Treatment ... Lupusreference #druginduced ... #lupus #sle #comparison ... #rheumatology #diagnosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Management Summary Causes ... Shift of extracellular ... Monitor potassium ... #treatment #nephrology
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