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diagnosis differential management causes algorithm hypokalemia gitelman high pharmacology renal rhabdomyolysis sodium alkalosis binders chloride comparison diuresis diuretics encephalopathy excretion
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 ... losses: • High Blood ... #nephrology #low
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... peaks 1-2h) • Blood ... LouLectures #Hyperkalemia ... #nephrology
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 ... #hypokalemia ... #urine #potassium ... algorithm #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Weakness - Dark urine ... Hyperuricemia • Hyponatremia ... UA positive for blood ... Monitor potassium ... #nephrology
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Potassium Binders ... Management of Hyperkalemia ... #treatment #pharmacology ... #table #comparison ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... • Recent IV potassium ... - Tumor lysis syndrome ... Blood transfusion ... #high #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... : Hypovolemia, Hypervolemia ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... • Recent IV potassium ... - Tumor lysis syndrome ... Blood transfusion ... #high #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
and Treatment ... Measure urine osmolality ... Treatment: Treatment ... demyelination syndrome ... #management #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... hour with goal urine ... Monitor potassium ... per day until stable ... Dialysis for severe hyperkalemia
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