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nephrology diagnosis algorithm causes hypokalemia alkalosis normal pharmacology aniongap binders effects gitelman icucard lactated lr management nagma nonaniongap nongap ns
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... acidosis due to ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... intake • Metabolic ... acidosis: Gl tract ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... acidosis: Proximal ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Saline (NS) - Comparison ... 130 mEq/L • Potassium ... development of metabolic ... decreased renal blood flow ... Normal #Saline #NS #comparison
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Non-anion Gap Metabolic ... Potassium-sparing ... loads (ammonium chloride ... aniongap #NonGap #Metabolic ... #Acidosis #differential
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Alkalosis: Differential ... chronic respiratory acidosis ... other • Severe potassium ... #Alkalosis #Differential ... Diagnosis #Causes #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
(NAGMA) - Differential ... Chloride Intoxication ... #Metabolic #NAGMA ... #Differential ... Diagnosis #Workup #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... Hypochloremic metabolic ... ratio 0.5%) Differential ... Renal tubular acidosis ... • Magnesium
Phosphate Binders - Pros and Cons Calcium carbonate (TumsTM) - Most inexpensive, antacid properties useful for
see above), no metabolic ... acidosis ... Low pill burden. ... Magnesium based ... Binders #Table #Comparison
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
Trans Tubular Potassium ... Acidosis ІнСО3 ... 9 Respiratory Acidosis ... -2min Calcium chloride ... : 2 - 4mg/min Magnesium
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