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differential nephrology causes hyperkalemia management acidosis classification syndrome achalasia aniongap bacterial benign bipolar bpd bph criticalcare crystalloids disorder diuresis diuretics
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... phlebotomy High ... • NSAIDs • ACE ... Beta blockers • Antibiotics ... Medications 2.
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
Angiotensin-converting enzyme (ACE ... • Exogenous (KCL ... #differential #diagnosis ... pathophysiology #pharmacology ... #potassium #medications
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... phlebotomy High ... • NSAIDs • ACE ... Beta blockers • Antibiotics ... Medications 2.
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... Acidosis Causes of High-anion ... Potassium-sparing ... ACE-Is and ARBs ... #differential #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... NSAIDs, β-blockers, Antibiotics ... STOP offending medications ... Ca-gluconate or 1g CaCl ... #potassium #nephrology
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
we introduce a high ... The high CL- content ... which reduces renal ... criticalcare #management #diagnosis ... #treatment #pharmacology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Loop Diuretics; High-Ceiling ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology ... #Medications #Table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Syndrome (PRES) Overview ... Immunosuppressive agents, Renal ... circulation: MCA ACA ... Electrolyte abnormality, Medication ... epilepticus Treatment
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Bacterial Peritonitis DIAGNOSTICS ... improved outcomes 1) Antibiotics ... carbapenem if known high ... bilirubin 3) or renal ... #prophylaxis #treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... perfusion - shock->treatments ... before beginning treatment ... - HIV/HAART medications ... lactate and can act
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