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diagnosis causes algorithm hypokalemia hyperkalemia low treatment kidney acidosis high pharmacology blood clinical hematuria hypertension magnesium medications metabolic neurology rhabdomyolysis
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
algorithm Decreased renal ... • Acute renal ... failure • Chronic renal ... high: • Post-renal ... #potassium #differential
Renal Tubular Acidosis (RTA) Diagnosis and Management • Distal (type 1) RTA • Proximal (type 2)
Renal Tubular Acidosis ... Diagnosis and Management ... 4) RTA #rta #Renal ... Acidosis #Diagnosis #Management ... #nephrology #table
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Medications Renal ... Losses Non-renal ... Diagnosis #Algorithm #nephrology ... #low #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Hypokalemia - Differential ... gastrointestinal K loss • Renal ... hypokalemia • Renal ... algorithm #causes #nephrology ... #potassium
ACEI Antihypertensive Dose Comparison. Consider divided (BID) regimen for better pre-dose (trough) BP control for the
Monitor BP, potassium ... , and renal function ... #Hypertension #Management ... PrimaryCare #Comparison #Table
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
minutes) Decrease potassium ... Fluids Shift potassium ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... loss (Diarrhea) Renal ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... Mineralocorticoid excess - Renal ... #Hypokalemia #Differential ... Diagnosis #Low #Potassium ... #Table #Classification
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
HYPOTENSION -> renal ... vasocontriction-> decreased renal ... renal ischemia ... Cast formation: Renal ... Monitor potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... resistance Impaired Renal ... deficiency • Renal ... Type IV RTA • Renal ... #high #nephrology
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