Hypokalemia - Differential Diagnosis Algorithm
Transcellular Shift:
• Alkalosis
• ↑ beta-2 adrenergic simulation
• Erythropoiesis (B12 injections in pernicious anemia)
• G-CSF
• Hypokalemic periodic paralysis
• Refeeding syndrome
• Thyrotoxicosis
Medications
Renal Losses
Non-renal losses:
• GI losses (NG suction, diarrhea, vomiting)
• Low K intake (anorexia, dementia, starvation, TPN)
• Transcellular shifts
• Discontinued diuretic
Matthew Ho, MD PhD @MatthewHoMD
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