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differential algorithm alkalosis treatment gitelman syndrome anesthesia anesthesiology checklist chloride crisis diuretics excretion hyperkalemia hyperthermia hypokalemia hyponatremia intraoperative k malignant
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
loop or thiazide diuretics ... pressure: Active diuretic ... the indicated causes ... #Algorithm #nephrology ... #differential #diagnosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... intake, Diuretics ... Cl-: Diuretics, ... #Algorithm #Nephrology ... #Causes
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
resistance • Metabolic ... disequilibrium syndrome • Diagnosis ... irrigation • Management ... Kidney stones caused ... #Nephrology #Pharmacology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... intake, Diuretics ... Cl-: Diuretics, ... #Algorithm #Nephrology ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... tourniquet / IVF line draw ... lysis) ± Urine ... only if no clear cause ... #potassium #nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Hypomagnesemia - Metabolic ... Elevated Renin Urine ... Fractional excretion of Cl ... Normotensive - No diuretic ... #Workup #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... Measure urine osmolality ... #Treatment #management ... #nephrology #sodium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Summary Causes ... Heat stroke - Metabolic ... Loop diuretics for ... #Management #causes ... #treatment #nephrology
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
amiodarone/metoprolol Metabolic ... hyperventilate, sodium ... forced alkaline diuresis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... Hypocalciuria (spot urine ... Gitelman #Syndrome #diagnosis ... #nephrology #management
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