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differential hyperkalemia management high medications rhabdomyolysis criticalcare crystalloids diuresis diuretics effects excretion foamed lactated lr normal ns pathophysiology physiology renal
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
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... trial • Minimal K ... transcellular shift ... • Saline Causes ... #pharmacology #
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , Saline infusion ... only if no clear cause ... #Hyperkalemia #Diagnosis ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
- Differential Diagnosis ... Shift of extracellular ... azotemia: Isotonic saline ... Monitor potassium ... Management #Summary #causes
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
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
is dominated by K+ ... as a too much K+ ... in the ECF causes ... criticalcare #management #diagnosis ... #treatment #pharmacology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Kidney stones caused ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Pharmacology #
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