11 results
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
excretion • Acute ... • Interstitial nephritis ... • Drugs • Diabetic ... Normal, Renin High ... Diagnosis #algorithm #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Fluids Shift potassium ... excretion: • ... function) - Loop diuretic ... #Hyperkalemia #management ... #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Regulating Renal Excretion ... Altitude sickness • Diuretic ... irrigation • Management ... ; High-Ceiling Diuretics ... #Diuresis #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
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
TO PO • USE HIGH ... , address diuretic ... ) to normalize Potassium ... Early nephrologv ... Fluid #Balance #management
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... (Uncontrolled diabetes ... Impaired Renal Excretion ... insufficiency/Failure • SLE ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... (Uncontrolled diabetes ... Impaired Renal Excretion ... insufficiency/Failure • SLE ... #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
• ↓ Renal K+ Excretion ... (IV loop diuretic ... - IV loop diuretic ... #Treatment #potassium ... #nephrology #K
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Ketoacidosis: Diabetic ... Potassium-sparing ... diuretics (amiloride ... ketosis with ketone excretion ... diagnosis #causes #nephrology
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... site/line where potassium ... Increase renal excretion ... via a loop diuretic ... #high