8 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... rely upon rapid seizure ... cause aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare #
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... Food - Avoid in CRF ... #differential # ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... Food - Avoid in CRF ... #differential # ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Reduced Excretion - Differential ... Low EABV (e.g., CHF ... IntercellularShift #Nephrology ... #Differential #
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
TO PO • USE HIGH ... especially in high ... aldosterone states (CHF ... Early nephrologv ... Balance #management #criticalcare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Hypotension & Hypovolemia ... Hypothermia & Shivering, Seizures ... testing • Seen in Short ... #Diagnosis #criticalcare
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Inherited (AR) hypokalemic ... Hypocalciuria (spot ... ratio 0.5%) Differential ... tachycardia • Seizures ... Syndrome #diagnosis #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... patient causing hypovolemia ... #diagnosis #differential ... #heartfailure #chf ... #criticalcare #