18 results
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
, address diuretic ... ) to normalize Potassium ... contraction metabolic alkalosis ... Early nephrologv ... Fluid #Balance #management
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
loop or thiazide diuretics ... pressure: Active diuretic ... the indicated causes ... of sodium and potassium ... urine #Algorithm #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Altitude sickness • Diuretic ... • Metabolic alkalosis ... irrigation • Management ... ; High-Ceiling Diuretics ... Kidney stones caused
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... after renal tubule diuretic ... other • Severe potassium ... Differential #Diagnosis #Causes ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Sodium >145 mmol/L High ... administration • Osmotic diuresis ... (see Polyuria scheme ... 300 mmol/kg • Diabetes ... Hypernatremia #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... urinary losses: • High ... - Metabolic Alkalosis ... : Emesis, Diuretics ... #nephrology #low
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE ... autoantibodies that will cause ... Induction Rx: high-dose ... #CNS #neurology ... cerebritis #diagnosis #management
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
0.8 Normal + High ... of High Anion Gap ... Ketoacidosis (starvation, diabetic ... Volume depletion (diuresis ... Diagnosis #Summary #Nephrology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
altered 2) You see ... no respiratory cause ... Acidosis, Respiratory Alkalosis ... , High Lactate, ... Low Potassium, Low
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... (Uncontrolled diabetes ... insufficiency/Failure • SLE ... #potassium #high ... #nephrology