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nephrology differential algorithm chloride metabolic urinary abg acidbase bloodgas causes disorders diuresis diuretics excretion hyperkalemia hypochloremia icucard interpretation management medications
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Differential Diagnosis ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... poisoning • Normal acid-base ... #Differential #Diagnosis
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Differential Diagnosis ... - Metabolic alkalosis ... decarboxylation/gas ... secretion • Acid-base ... components of acid-base
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... (AG) = {Na - (Cl ... D-lactate (short bowel syndrome ... failure (uremia) K ... #Base #Gas #VBG
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... poisoning Normal acid-base ... and potassium acid ... #differential #diagnosis
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... • Diagnosis of ... Bumetanide, Ethacrynic acid ... • Bleeding • Cardiac ... Tolvaptan) • Treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Antibiotics (Bactrim, PCN ... tourniquet / IVF line draw ... line, stabilizes cardiac ... #potassium #nephrology
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
4.0-6.0 % (U/P K) ... calculated 2"(Na + K) ... ACID-BASE AG ... base Equation ... Distress Syndrome
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