13 results
diagnosis differential hyperkalemia management low treatment acei acidosis alkalosis aniongap chloride comparison effects gitelman high hyponatremia hypotonic initiation intercellularshift k
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... A urine K/Cr ratio ... • Diarrhea A urine ... #nephrology #low
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Low intake • Metabolic ... #causes #potassium ... #low #nephrology
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
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Non-anion Gap Metabolic ... Potassium-sparing ... ACE-Is and ARBs ... aniongap #NonGap #Metabolic ... #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... development of metabolic ... Is Dangerous in Hyperkalemia ... Decreased GFR, urine ... • Saline May Cause
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Heat stroke - Metabolic ... Weakness - Dark urine ... Monitor potassium ... #treatment #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
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
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 ... Present (Uosm ≥100): Hypovolemia ... #nephrology
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