11 results
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
TO PO • USE HIGH ... CONCENTRATION MEDICATIONS ... REMOVE UNECCESARY MEDS ... especially in high ... Early nephrologv
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
extracellular fluid ... - Insulin (high ... hypomagnesemia #Medications ... differential #diagnosis #nephrology ... #Causes #hypomg
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... ; High-Ceiling Diuretics ... Kidney stones caused ... #Nephrology #Pharmacology ... #Medications #Table
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
preload → IV Fluids ... • If high preload ... → Diuretics • ... discontinuation of causative medication ... Foley catheter • Medications
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • K sparing diuretics ... Medications 2. ... differential #diagnosis #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • K sparing diuretics ... Medications 2. ... differential #diagnosis #causes ... #nephrology
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
hypokalemia); nausea ... constipation, diarrhea; fluid ... patients sensitive to high ... #Hyperkalemia #medications ... #pharmacology #
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Pager Summary Indications ... refractory to diuretics ... Dialyzer is rigid case ... High clearance achieved ... RRT #managment #nephrology
Causes of Hyperkalemia - Differential Diagnosis Framework
 • Cellular Shift:
   - Exercise
Causes of Hyperkalemia ... hyperosmolality - Medications ... angiotensin inhibitors, meds ... Aldosterone: K sparring diuretics ... #potassium #high
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
urine Na/Cl < 0.7, high ... Cl; • Active diuretic ... Other medications ... continued in most cases ... differential #algorithm #nephrology