24 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Vomiting, NGT suction ... intake, Diuretics (late ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Vomiting, NGT suction ... intake, Diuretics (late ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... GI losses (NG suction ... Diagnosis #Algorithm #nephrology ... #low #potassium
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Respiratory Acidosis and Alkalosis ... - Salicylates (late ... Addison disease - Renal ... Diagnosis #Acidosis #Alkalosis ... Recommended Text: Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
blood pressure: Active ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... of sodium and potassium ... urine #Algorithm #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
vomiting/ nasogastric suction ... diuretics after renal ... generally indicates a renal ... other • Severe potassium ... Diagnosis #Causes #nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Metabolic alkalosis ... - Diarrhea • RENAL ... gas transport, renal ... Diagnosis #Algorithm #Pathophysiology ... #Nephrology #Chloride
Blood gas analysis
Metabolic alkalosis
Measured urine CI
< 10 mEq/L
Saline responsive
> 10 mEg/L
Not saline responsive
- Vomiting or NG
analysis Metabolic alkalosis ... Vomiting or NG suction ... cause of H+ loss Renal ... - Gitelman syndrome ... - Potassium depletion
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
D-lactate (short bowel syndrome ... salicylates) R Renal ... - Diarrhea - Renal ... acidosis/Chronic renal ... Diagnosis #Summary #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... suggests extra-renal ... - Metabolic Alkalosis ... #differential #potassium ... #nephrology #low