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diagnosis differential hyperkalemia management causes high hypokalemia acei balance criticalcare diuresis epilepticus fluid initiation kdigo kidneyinjury low monitoring negative neurology
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
Mechanisms of Drug-Induced ... Increased EC shift of K ... #pharmacology #potassium ... #medications #druginduced
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Differential Diagnosis Algorithm ... Thyrotoxicosis Medications ... vomiting) • Low K ... #nephrology #low ... #potassium
Drug Induced Kidney Injury • Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy • Osmotic
Drug Induced Kidney ... NSAIDS, CNI, ACEI/ARB ... @kdjhaveri #DrugInduced ... differential #diagnosis #algorithm ... #nephrology #Medications
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
reactions Common Drugs ... • Recent IV potassium ... - Hyperosmolar states ... Medications 2. ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
reactions Common Drugs ... • Recent IV potassium ... - Hyperosmolar states ... Medications 2. ... #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... : K+, ACEi/ARBs, ... STOP offending medications ... Optimize volume status ... #nephrology #K
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ACEI or ARB Initiation ... Review concurrent drugs ... - Moderate potassium ... Reassess concomitant medications ... Initiation #monitoring #algorithm
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
CONCENTRATION MEDICATIONS ... DIURETICS which are ... ) to normalize Potassium ... high aldosterone states ... Early nephrologv
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
of Convulsive Status ... Antiepileptic Drug ... Alternative medications ... seizure #Management #neurology ... pediatrics #peds #algorithm
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... Tubulopathy: urine K/ ... correcting serum potassium ... Other medications ... #nephrology
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