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diagnosis nephrology algorithm causes management hypokalemia alkalosis criticalcare encephalopathy foamed gitelman hypomagnesemia icucard pathophysiology posterior pres reversible rhabdomyolysis urinary urine
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... intake • Metabolic ... Renal Losses: • Metabolic ... Algorithm #causes #potassium ... #low #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... of sodium and potassium ... #differential #
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... consumption • Low ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... ratio 0.5%) Differential ... Rhabdomyolysis Treatment ... • Magnesium ... #diagnosis #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... other • Severe potassium ... #Alkalosis #Differential ... Diagnosis #Causes #nephrology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
metastasis (hungry bone syndrome ... osmotic diuresis, Potassium ... Hypomagnesemia #Causes #differential ... #diagnosis #nephrology ... #magnesium #low
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Heat stroke - Metabolic ... Monitor potassium ... Rhabdomyolysis #Differential ... #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... Reversible course Differential ... Drug toxicity, Metabolic ... epilepticus Treatment ... • Magnesium correction
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
The metabolism of ... for Refeeding Syndrome ... both conditions, low ... provided the starting potassium ... #diagnosis #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 ... Distress Syndrome ... -2min Calcium chloride ... : 2 - 4mg/min Magnesium
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