11 results
Veltassa (Patiromer) 
MECHANISM: Potassium Binder 
INDICATION: Treatment of Hyperkalemia 
FORMULATION: Powder for oral suspension 
DOSING: 8.4
Veltassa (Patiromer ... least 3 hours Veltassa ... Veltassa can be ... /ambcarerx #Veltassa ... #KBinder #Hyperkalemia
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
Lysis Syndrome (TLS ... Abnormalities of TLS ... Laboratory TLS ... 6.0 mEq/dL • Phosphorus ... mg/dL Clinical TLS
Pathophysiology of Tumor Lysis Syndrome (TLS)
Tumor Cell Lysis
-> Release of DNA
 • Purines -> Hypoxanthine /
Lysis Syndrome (TLS ... excretion) • Phosphorus ... TumorLysis #Syndrome #TLS
Tumor Lysis Syndrome - Workup and Management

Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
≥ 6 mEq/L • Phosphorus ... Treatment of Clinical TLS ... MatthewHoMD #TLS
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Potassium Binders ... • Patiromer (veltassa ... cyclosilicate #Potassium #Binders
Phosphate Binders
#Pharmacology #Nephro #Phosphate #Phosphorus #Binders #Comparison #Table #Disadvantages #SideEffects
Phosphate Binders ... Nephro #Phosphate #Phosphorus ... #Binders #Comparison
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Antacids, Phosphate Binders ... Algorithm #nephrology #phosphorus
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
absorption (Antacids, Phosphorus ... binders, Niacin
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
leukapheresis - TLS ... Non calcium phos binders ... Lysis #Syndrome #TLS
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
hypokalemia Patiromer (Veltassa ... table #comparison #binders