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management diagnosis algorithm differential pharmacology clinical nephrology causes cardiology table medications syndrome endocrinology hyperkalemia gastroenterology neurology physicalexam video comparison hematology
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
Treatment of hyperkalemia ... determine response to diuretic ... #hyperkalemia ... #criticalcare #treatment ... #diuretics #diuresis
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... ß-Adrenergic agonists, Hypokalemic ... congenital), Thyrotoxic hypokalemic ... or induced) #Hypokalemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
G-K), K-sparing diuretics ... Stabilization Treatments ... Redistribution Treatments ... Elimination Treatments ... Diagnosis #Management #Treatment
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Acute Hyperkalemia ... sodium bicarbonate, Diuretics ... ) - Effective diuretic ... therapy (loop diuretics ... Acute #Chronic #treatment
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Inherited (AR) hypokalemic ... with thiazide diuretic ... • Unexplained hypokalemia ... Surreptitious diuretic ... Rhabdomyolysis Treatment
Gitelman Syndrome - Management Treatment includes - Electrolyte replacement - K & Mg, preferably Cl salts
Syndrome - Management Treatment ... In persistent hypokalemia ... , K sparing diuretics ... Syndrome #Management #Treatment
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... function) - Loop diuretic ... LouLectures #Hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
• LDH ↑ • Hyperkalemia ... oxidative injury Treatment ... Treatment of underlying ... Loop diuretics for ... Management #causes #treatment
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
oxidative iniury Treatment ... Loop diuretics for ... Dialysis for severe hyperkalemia ... Summary #causes #treatment
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
syndrome • Triggers: Diuretics ... organ damage • Treatment ... Low calcium • Treatment ... hydration - Hyperkalemia ... treatment (no calcium
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