36 results
diagnosis differential causes algorithm treatment hyperkalemia hypernatremia polyuria potassium renal sodium diuresis high hypokalemia criticalcare crrt gitelman magnesium metabolic pharmacology
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
fludrocortisone step 3 = diuretic ... determine response to diuretic ... hyperkalemia #kaliuresis #management ... criticalcare #treatment #diuretics ... #diuresis #nephrology
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
concentrating defect: • Diuretics ... • Osmotic diuresis ... • Central diabetes ... • Nephrogenic diabetes ... Diagnosis #Causes #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... • Nephrogenic diabetes ... Lithium-induced nephrogenic diabetes ... DDAVP) • Central diabetes ... #Nephrology #Pharmacology
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
3L /day Water Diuresis ... Polydipsia • Central Diabetes ... • Nephrogenic Diabetes ... Insipidus Mixed Diuresis ... Algorithm #causes #nephrology
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
a.k.a. osmotic diuresis ... : Conventional diuretics ... Poorly controlled diabetes ... Diabetes Insipidus ... Diagnosis #Causes #nephrology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
(treatment of diabetic ... thiazide-like diuretics ... Postobstructive diuresis ... , Osmotic diuresis ... differential #diagnosis #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
• Hypovolemic: Diuretics ... osmotic (solute) diuresis ... • Euvolemic: Diabetes ... Workup #Algorithm #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
Diuresis in Critical ... Start with LOOP DIURETICS ... , address diuretic ... Early nephrologv ... Fluid #Balance #management
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
/min) Osmotic Diuresis ... (Uncontrolled Diabetes ... • Central Diabetes ... • Nephrogenic Diabetes ... #Polyuria #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Diagnosis Algorithm - Diabetes ... Hypernatremia #Management ... Algorithm #Sodium #nephrology
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