13 results
diagnosis differential causes classification hyperkalemia hyponatremia management acei acidosis acute aki chloride elevation gitelman high hypotonic initiation k kdigo kidneyinjury
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... Thyrotoxicosis Medications ... #nephrology #low ... #potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... the basis of the potassium-to-creatinine ... #urine #potassium ... #differential #algorithm ... #diagnosis #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... • Diarrhea A urine ... - Metabolic Alkalosis ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... , Gitelman syndrome ... and potassium acid ... #Algorithm #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
• Inherited (AR) ... thiazide-sensitive sodium ... • Normal or low ... Hypocalciuria (spot urine ... #diagnosis #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
ON (UNa < 30): Hypovolemia ... > 30): SIADH, Medications ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
Hyperkalemia: ... Review concurrent drugs ... - Moderate potassium ... Consider: diuretics, sodium ... Reassess concomitant medications
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #nephrology
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... Na/Cl > 1.6, low ... correcting serum potassium ... Other medications ... #nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
common culprits: Hypovolemia ... , Low effective ... obstruction, Nephrotoxic drugs ... 80% of AKI cases are ... IMPROVEMENT If the urine
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