Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... to moderate); hypokalemia ... Hypomagnesemia; hypokalemia ... Potassium #Binding #Hyperkalemia ... #table #comparison
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Hyporeflexia: β€’ Hypercalcemia ... Hyperreflexia: β€’ Hypocalcemia ... Hyperreflexia #Testing ... #diagnosis #table
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
the Treatment of Hyperkalemia ... Figure 3 is an algorithm ... for the management ... , and Table 3 summarizes ... #Management #Medications
β–Ί
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Renal Loses - Medications ... - Hypokalemia ... Familial renal Mg wasting ... Low #Magnesium #Table ... Classification #Causes
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Adrenalin - "Epi" - ACLS ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology ... #indications
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 β€’ Vomiting: urine Na/Cl > 1.6, low urine
for hypokalemia ... confirmed via genetic testing ... *If hypokalemia ... Other medications ... reporting.137,138 #hypokalemia
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Present (Uosm β‰₯100): Hypovolemia ... , Hypervolemia with ... differential #diagnosis #table
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... recent PCl or ACS ... perform exercise testing ... controlled by above medications ... fluid status (hypervolemia