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management diagnosis nephrology differential causes high rhabdomyolysis comparison effects gitelman k kdigo lactated low lr normal ns pathophysiology pharmacology ringers
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... evaluating hypokalemia ... in evaluating hypokalemia ... - Metabolic acidosis ... @krithicism #Hypokalemia
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... calcium • IV ... bicarbonate if acidosis ... , asystole #hyperkalemia ... #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... : • Calcium 2- ... emcrit.org/ibcc/hyperkalemia ... management of hyperkalemia ... #Hyperkalemia
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
of acute hyperkalemia ... lead ECG • IV calcium ... bicarbonate if acidosis ... Consider dialysis #hyperkalemia ... #treatment #potassium
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Family history of hypokalemia ... • Unexplained hypokalemia ... pressure Labs: • Hypokalemia ... , calcium-creatinine ... pathophysiology #Hypokalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Weakness - Dark urine ... • LDH ↑ • Hyperkalemia ... Monitor potassium ... and calcium several ... Dialysis for severe hyperkalemia
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... AV blocks) -> Calcium ... not quickly) #Hyperkalemia ... #Treatment #Algorithm
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... 4 mEq/L • Calcium ... • LR Contains Calcium ... Is Dangerous in Hyperkalemia ... Decreased GFR, urine
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
oxidative iniury Treatment ... hour with goal urine ... Monitor potassium ... and calcium several ... Dialysis for severe hyperkalemia
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