21 results
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
, address diuretic ... ) to normalize Potassium ... a contraction metabolic ... 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
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Syndrome • HTN, High ... Loop and thiazide diuretics ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Altitude sickness • Diuretic ... resistance • Metabolic ... irrigation • Management ... ; High-Ceiling Diuretics ... Kidney stones caused
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... (Uncontrolled diabetes ... infusions) - Metabolic ... #potassium #high ... #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Ketoacidosis: Diabetic ... Potassium-sparing ... diuretics (amiloride ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... wasting from other causes ... urinary losses: • High ... Alkalosis: Emesis, Diuretics ... #nephrology #low
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... (Uncontrolled diabetes ... infusions) - Metabolic ... #potassium #high ... #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
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