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diagnosis nephrology algorithm causes hypokalemia acidosis alkalosis normal workup aniongap comparison effects gitelman hypocalcemia icucard lactated lr management nagma nonaniongap
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup - Differential ... Magnesium, High ... Magnesium - Functional ... deficiency • Drugs: Calcium ... #calcium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... high in kidney ... 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 ... Syndrome • HTN, High ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... urinary losses: • High ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Alkalosis: Differential ... other • Severe potassium ... deficiency • Milk (calcium ... #Alkalosis #Differential ... Diagnosis #Causes #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... development of metabolic ... Hyperchloremia nonanion gap metabolic ... densa receives high ... decreased renal blood flow
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 ... Hypocalciuria (spot urine, calcium-creatinine ... ratio 0.5%) Differential ... • Magnesium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Acidosis (NAGMA) - Differential ... Chloride Intoxication ... • Serum K high ... - Diarrhea - High ... NonAnionGap #Acidosis #Metabolic
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... Non-anion Gap Metabolic ... Potassium-sparing ... loads (ammonium chloride ... #Acidosis #differential
#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 ... (HCO3d-HCO3m) Metabolic ... 1.0mg over 1-2min Calcium ... chloride (10%): ... : 2 - 4mg/min Magnesium
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