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diagnosis differential nephrology algorithm management hypokalemia hematology product reactions treatment abg acid acidbase alkalosis aspirin base bloodgas chloride comparison disorders
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
patients with hypokalemia ... effective arterial blood ... anion effect: Vomiting ... syndrome #hypokalemia ... #urine #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... A urine K/Cr ratio ... • Diarrhea A urine ... urinary losses: • High ... Blood Pressure:
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... Is Dangerous in Hyperkalemia ... densa receives high ... Decreased GFR, urine ... • Saline May Cause
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Crush injury • Blood ... (Uncontrolled diabetes ... differential #diagnosis #causes ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Crush injury • Blood ... (Uncontrolled diabetes ... differential #diagnosis #causes ... #potassium #high
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
no respiratory cause ... , Vomiting, Tinnitus ... Respiratory Alkalosis, High ... Lactate, Low Potassium ... Resuscitation 2) Urine
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Gastrointestinal: Vomiting ... • Normal/low blood ... metabolic acidosis • Diabetic ... the indicated causes ... of sodium and potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Weakness - Dark urine ... UA positive for blood ... Isotonic fluid/Lactated ... Monitor potassium
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Base Disorders - Blood ... Interpretation Steps for Blood ... ) D D-lactate ... Ketoacidosis (starvation, diabetic ... Alkalosis: - Vomiting
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
algorithm for hypokalemia ... presentations: • Vomiting ... Na/Cl < 0.7, high ... correcting serum potassium ... continued in most cases
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