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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14 results
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
calcium for K; also binds ... nonspecifically binds ... ); nausea, vomiting ... #pharmacology #table ... #comparison #binders
Potassium Binders for Management of Hyperkalemia
 β€’ SPS - Sodium polystyrene sulfonate
 β€’ Patiromer (veltassa)
 β€’
Potassium Binders ... for Management ... #Management #Hyperkalemia ... #pharmacology #table ... #comparison #nephrology
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Hypokalemia Differential ... Diagnosis Algorithm ... Low intake ... amzn.to/2LmUODZ #Hypokalemia ... #Causes #Classification
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Used Phosphate Binders ... Lowers level of low-density ... increased risk of low ... #Phosphate #Binders ... #Table #Comparison
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Hypokalemia ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... - Dopamine, low ... Pharmacology #Effect #Management ... #Comparison #Inotropes
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 ... can be high or low ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , Elevated Cr, Low ... hydration - Hyperkalemia ... Non calcium phos binders ... TLS #diagnosis #management
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure β†’ Dialysis with low Ca++ bath
Aggressive IV hydration
Treatment algorithm ... Dialysis with low ... Calcitonin Refractory Cases ... #Treatment #algorithm ... #management #endocrinology