10 results
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
- Protective effects ... Is Dangerous in Hyperkalemia ... densa receives high ... blood flow and ... #pharmacology #effects
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... mineralocorticoid-like effect ... , a high urine chloride ... the excretion of sodium ... #differential #
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... • Metabolic acidosis ... Syndrome • HTN, High ... #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Causes of High-anion ... Renal acidosis ... loads (ammonium chloride ... #differential #
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Chloride Intoxication ... • Serum K high ... - Diarrhea - High ... Diagnosis #Workup #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... (renal potassium ... ratio 0.5%) Differential ... tubular acidosis
Distal Renal Tubular Acidosis
Distal RTA is the true Nephrogenic RTA and can be truly divided into
Distal Renal Tubular ... Acidosis Distal ... variants- the hypokalemic ... distal RTA - A high ... RTA #diagnosis #differential
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... urinary losses: • High ... - Metabolic acidosis ... diagnosis #Algorithm #differential ... #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #nephrology
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
Acidosis B. ... the epithelial sodium ... Drug-associated: heparin, low-molecular-weight ... #Differential # ... Diagnosis #High