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diagnosis differential causes hyperkalemia algorithm high classification diuresis diuretics excretion hypomagnesemia hypomg hyponatremia hypotonic magnesium management pharmacology physiologic sodium treatment
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Thyrotoxicosis Medications ... Renal Losses ... K intake (anorexia ... Diagnosis #Algorithm #nephrology ... #low #potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Recent IV potassium ... (Uncontrolled diabetes ... Medications 2. ... diagnosis #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Recent IV potassium ... (Uncontrolled diabetes ... Medications 2. ... diagnosis #causes #potassium ... #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... Elimination (see Table ... STOP offending medications ... acidosis) • Low ... #nephrology #K
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Loses - Medications ... Hypercalcemia - Hypokalemia ... - Uncontrolled diabetes ... Differential #Diagnosis #Low ... #Magnesium #Table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... differential #diagnosis #table ... #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... Inhibitors of Na+K+ ... Excretion #Diuresis #Nephrology ... #Pharmacology #Medications ... #Table
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
urine Na/Cl > 1.6, low ... Tubulopathy: urine K/ ... correcting serum potassium ... Other medications ... differential #algorithm #nephrology
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