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diagnosis differential management hyperkalemia causes hyponatremia potassium adh binders cardiology chf clinical criticalcare effects foamed gitelman heartfailure hypotonic hypovolemia icu
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Management of Hyperkalemia ... • SPS - Sodium ... #treatment #pharmacology ... #table #comparison ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... differential #diagnosis #table ... #sodium #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Differential Diagnosis Algorithm ... isolation) GI loss - Urine ... periodic paralysis EABV ... aldosterone • Renal ... #Nephrology #Differential
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... EABV (e.g., CHF ... Creatinine • Chronic renal ... IntercellularShift #Nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Saline (NS) - Comparison ... Is Dangerous in Hyperkalemia ... blood flow and ... Decreased GFR, urine ... #pharmacology #
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
body water in comparison ... hyponatremia in renal ... Measured urine sodium ... hyponatremia #ADH #RAAS #Hypovolemia ... #EBV #potomania
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
lysis) ± Urine ... 15 suggests ↓ renal ... Elimination (see Table ... acidosis) • Low ... #potassium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... urine output. ... patient causing hypovolemia ... #differential #algorithm ... #table #foamed
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