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diagnosis management differential nephrology algorithm causes treatment heartfailure antihypertensive arb blood bloodpressure cardiogenic checklist clinical contraindications criticalcare evaluation foamed hematology
Compelling and Possible Contraindications to Antihypertensive Drugs Diuretics (thiazides) - Gout - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... antagonists (MRA) - Hyperkalemia ... higher risk of hyperkalemia ... - Pregnancy, Hyperkalemia ... Pgp-dependent drugs (e.g
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... drugs - Moderate potassium ... - Consider: diuretics ... concomitant medications (e.g
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... heparinized tube) • ECG ... emcrit.org/ibcc/hyperkalemia ... management of hyperkalemia ... #Hyperkalemia
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... Drugs Causing Hyperkalemia ... Metabolic acidosis - Hyperkalemia ... cantaloupe #hyperkalemia
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... Drugs Causing Hyperkalemia ... Metabolic acidosis - Hyperkalemia ... images/12834 #hyperkalemia
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • Low EABV (e.g ... ., CHF, cirrhosis ... Aldosterone • ACEi ... • NSAlDs #Hyperkalemia
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... • Order a STAT EKG ... stabilize heart if EKG ... @AnnKumfer #Hyperkalemia ... #high
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... - Diuresis if ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indicated • EKG ... Obtain EKG if: ... ACEi/ARBs - Hold ... one post op Cardiology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
in recipient (e.g ... High mortality. ... patients with CHF ... , Hyperkalemia: ... People taking ACEi
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