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diagnosis differential hyponatremia management acei alkalosis arb chloride epilepticus foamed hypokalemia hypotonic initiation kdigo metabolic monitoring neurology pediatrics peds physiologic
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
• Refeeding syndrome ... Thyrotoxicosis Medications ... vomiting) • Low ... #nephrology #low ... #potassium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... Cirrhosis, Nephrotic syndrome ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Cirrhosis, Nephrotic syndrome ... > 30): SIADH, Medications ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
Review concurrent drugs ... - Moderate potassium ... Consider: diuretics, sodium ... for causes of AKI ... Reassess concomitant medications
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... , Gitelman syndrome ... and potassium acid ... #nephrology #differential
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
for Refeeding Syndrome ... both conditions, low ... provided the starting potassium ... #differential #algorithm ... management #treatment #criticalcare
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... Antiepileptic Drug ... Alternative medications ... IV Thiopental Sodium ... pediatrics #peds #algorithm
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