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diagnosis causes management hyperkalemia criticalcare foamed high algorithm aniongap classification crystalloids elevation gitelman k lactate lactic metabolic nongap pathophysiology physiology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Hypokalemia ... Potassium-sparing ... ACE-Is and ARBs ... #differential # ... diagnosis #causes #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • NSAIDs • ACE ... - Metabolic acidosis ... #differential # ... #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Redistribution: Acidosis ... reabsorption) Workup ... hyperchloremic acidosis ... Ca-gluconate or 1g CaCl ... #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • NSAIDs • ACE ... - Metabolic acidosis ... #differential # ... #high #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
(renal potassium ... ratio 0.5%) Differential ... Renal tubular acidosis ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
carry treatment ... hormones that work ... provided the starting potassium ... #diagnosis #differential ... algorithm #management #treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential ... before beginning treatment ... perfusion - Cardiac arrest ... - Shock - Hypovolemia ... #Elevation #Differential
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
ECF and ICF both work ... Metabolic Acidosis ... the ECF causes Hyperkalemia ... management #diagnosis #treatment ... #pharmacology #
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