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hyperkalemia nephrology potassium comparison diuresis diuretics effects lactated lr management medications normal ns renal ringers saline table treatment
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Hyperkalemia: • CKD ... transfusion • HTN and edema ... Impaired Renal Excretion ... #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Hyperkalemia: • CKD ... transfusion • HTN and edema ... Impaired Renal Excretion ... #diagnosis #causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Excretion: ... VBG (acidosis), CK ... suggests ↓ renal excretion ... only if no clear cause ... caution in HTN & edema
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
trial • Minimal K ... densa receives high ... volume and sodium excretion ... • Saline May Cause ... NS #comparison #pharmacology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal Excretion ... disequilibrium syndrome • Diagnosis ... Loop Diuretics; High-Ceiling ... Kidney stones caused ... Diuresis #Nephrology #Pharmacology
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Decreased Urinary Excretion ... to Aldosterone: K ... depletion, - AKI/CKD ... #Diagnosis #Causes ... #potassium #high
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