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diagnosis differential hypokalemia management acei chloride gitelman hyponatremia hypotonic initiation intercellularshift k kdigo low metabolic monitoring pathophysiology physiologic syndrome table
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... • Diarrhea A urine ... - Metabolic Alkalosis ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... the indicated causes ... sodium is typically ... and potassium acid ... #Algorithm #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
• Inherited (AR) ... thiazide-sensitive sodium ... (renal potassium ... Hypocalciuria (spot urine ... Syndrome #diagnosis #nephrology
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
Hyperkalemia: ... drugs - Moderate potassium ... Consider: diuretics, sodium ... - Review for causes ... Initiation #monitoring #algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... : Hypovolemia, Hypervolemia ... #nephrology
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... correcting serum potassium ... continued in most cases ... #differential #algorithm ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... Aldosterone • ACEi/ARB ... IntercellularShift #Nephrology ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi/ARBs ... lysis) ± Urine ... only if no clear cause ... Management #Treatment #potassium ... #nephrology #K
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