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diagnosis differential potassium hyperkalemia table high hyponatremia management sodium treatment cardiology clinical criticalcare foamed heartfailure hypotonic icu intercellularshift nutrition pathophysiology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... anemia) • G-CSF ... • Refeeding syndrome ... K intake (anorexia ... #nephrology #low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... consumption • Low ... differential #potassium #nephrology ... #low
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... intake • Metabolic ... #causes #potassium ... #low #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... infusions) - Metabolic ... Food - Avoid in CRF ... differential #diagnosis #causes ... potassium #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... reabsorption) Workup ... only if no clear cause ... acidosis) • Low ... Treatment #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... infusions) - Metabolic ... Food - Avoid in CRF ... differential #diagnosis #causes ... potassium #high #nephrology
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
from hormonal and metabolic ... Post-operative state ... Hypo-Phos • Hypo-K ... decompensation (CHF ... Mg2+) • Slow
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Non-Anion Gap Metabolic ... Tumor Lysis Syndrome ... Decreased Na+-K+ ... IntercellularShift #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #sodium #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia: • Hypovolemia ... Cirrhosis, Nephrotic Syndrome ... #diagnosis #causes ... #nephrology #sodium ... #low
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