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diagnosis differential hyperkalemia causes treatment algorithm renal hypernatremia hypokalemia metabolic acidosis alkalosis aniongap balance chloride criticalcare crrt excretion fluid gitelman
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
Diuresis in Critical ... , address diuretic ... ) to normalize Potassium ... Early nephrologv ... Fluid #Balance #management
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Diuretics and Agents ... Altitude sickness • Diuretic ... irrigation • Management ... ; High-Ceiling Diuretics ... #Nephrology #Pharmacology
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
minutes) Decrease potassium ... Fluids Shift potassium ... function) - Loop diuretic ... #Hyperkalemia #management ... #potassium #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
loop or thiazide diuretics ... pressure: Active diuretic ... metabolic acidosis • Diabetic ... of sodium and potassium ... urine #Algorithm #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
G-K), K-sparing diuretics ... improve GFR - Diuresis ... hypertonic Amp IVP • Diuretics ... (IV loop diuretic ... - IV loop diuretic
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... • K sparing diuretics ... (Uncontrolled diabetes ... insufficiency/Failure • SLE ... #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
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... • K sparing diuretics ... (Uncontrolled diabetes ... insufficiency/Failure • SLE ... #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 ... diagnosis #causes #nephrology
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
urine Na/Cl < 0.7, high ... Cl; • Active diuretic ... to the dose of diuretic ... correcting serum potassium ... differential #algorithm #nephrology
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