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diagnosis management differential causes hypokalemia low rhabdomyolysis arb comparison effects gitelman high hyponatremia hypotonic initiation intercellularshift k lactated lr monitoring
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
Hyperkalemia: ... drugs - Moderate potassium ... for causes of AKI ... ) - Consider renal ... #kdigo
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... of acute hyperkalemia ... #treatment #potassium ... #high #nephrology ... #KDIGO
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Weakness - Dark urine ... + myoglobin AKI ... hour with goal urine ... Monitor potassium ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... suggests extra-renal ... • Diarrhea A urine ... #nephrology #low
Hypokalemia Diagnostic Algorithm To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Algorithm To assess ... perform 24-hour urine ... values suggest renal ... #Algorithm #TTKG ... #nephrology #low
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
nephron - TTKG > 7, Urine ... Creatinine • Chronic renal ... failure • AKI ... Aldosterone • ACEi ... IntercellularShift #Nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Dermatomyositis) AKI ... oxidative iniury Treatment ... hour with goal urine ... Monitor potassium ... Dialysis for severe hyperkalemia
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 ... Losses (AKI, Post-AKI ... : Hypovolemia, Hypervolemia ... table #sodium #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi ... , RTA Type IV, AI ... lysis) ± Urine ... 15 suggests ↓ renal ... #potassium #nephrology
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ... weakness, K+ >6.5 Or renal ... Remove potassium ... offending agent (ACE-I ... #Treatment #Algorithm
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