2608 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... determine response to diuretic ... #criticalcare #treatment ... #diuretics #diuresis ... #nephrology #algorithm
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
plasma insulin (treatment ... thiazide-like diuretics ... Postobstructive diuresis ... , Osmotic diuresis ... differential #diagnosis #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... Symport (Loop Diuretics ... ; High-Ceiling Diuretics ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
sodium bicarbonate, Diuretics ... ) - Effective diuretic ... therapy (loop diuretics ... Acute #Chronic #treatment ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Stabilization Treatments ... Redistribution Treatments ... Elimination Treatments ... Diagnosis #Management #Treatment ... #potassium #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... function) - Loop diuretic ... management #potassium #nephrology
Gitelman Syndrome - Management
Treatment includes
 - Electrolyte replacement - K & Mg, preferably Cl salts
Syndrome - Management Treatment ... hypokalemia, K sparing diuretics ... Syndrome #Management #Treatment ... #nephrology
Methotrexate Renal Toxicity 
Prevention:
 • Alkalinize the urine, keep urine ph >7
 • Start pre-treatment 12
• Start pre-treatment ... 48 hours post Treatment ... alkalosis • Forced diuresis ... Toxicity #management #treatment ... #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Diagnosis and Treatment ... unavailable 2) Osmotic Diuresis ... isotonic saline Treatment ... : Treatment of ... #management #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
oxidative injury Treatment ... Treatment of underlying ... Loop diuretics for ... Management #causes #treatment ... #nephrology