13 results
Tumor Lysis Syndrome - Workup and Management

Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
- Workup and Management ... uric acid, LDH, Urine ... ≥ 8 mg/dL • Potassium ... of the above Treatment ... monitoring • Consider ICU
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... A urine K/Cr ratio ... • Diarrhea A urine ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... of sodium and potassium ... #Algorithm #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... iniury, Compartment syndrome ... , Heat stroke, Metabolic ... hour with goal urine ... Monitor potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Heat stroke - Metabolic ... Weakness - Dark urine ... Monitor potassium ... #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Hypochloremic metabolic ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... #diagnosis #nephrology ... #management #pathophysiology
Methotrexate Renal Toxicity 
Prevention:
 • Alkalinize the urine, keep urine ph >7
 • Start pre-treatment 12
, keep urine ph ... fluids till you see metabolic ... alkalosis • Forced ... Renal #Toxicity #management ... #treatment #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Measure urine osmolality ... Treatment: Treatment ... demyelination syndrome ... #management #nephrology
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
both work together ... Metabolic Acidosis ... #foamed #criticalcare ... #management #diagnosis ... #treatment #pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... acute coronary syndrome ... #differential #algorithm ... #foamed #heartfailure ... #criticalcare #icu