6 results
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, K-sparing diuretics ... Elimination (see Table ... Bicarb<22) - avoid NS ... caution in HTN & edema ... Management #Treatment #potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
: • CKD • Poorly ... transfusion • HTN and edema ... sparing diuretics ... • Recent IV potassium ... Impaired Renal Excretion
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
: • CKD • Poorly ... transfusion • HTN and edema ... sparing diuretics ... • Recent IV potassium ... Impaired Renal Excretion
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Regulating Renal Excretion ... Hyponatremia • Hypercalcemia ... #Renal #Excretion ... #Pharmacology # ... Medications #Table
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
130 mEq/L • Potassium ... trial • Minimal K ... Is Dangerous in Hyperkalemia ... volume and sodium excretion ... #comparison #pharmacology
Pharmacologic Options for Hypercalcemia Associated with Cancer
Rehydration with NS followed by loop diuretics
 • IV normal
Rehydration with NS ... followed by loop diuretics ... saline - Enhances GFR ... and renal excretion ... #table