Hypokalemia-initialdiagnosisandtreatment

按一下以編輯母片標題樣式,按一下以編輯母片,第二層,第三層,第四層,第五層,*,Hypokalemia,- initial diagnosis and treatment,MMH A1,1,Blood pressure,Renin,Renin,Aldo,K,+,excretion rate and acid,-,base status ?,H,H,y,y,p,p,o,o,k,k,a,a,l,l,e,e,m,m,i,i,a,a,&,&,P,P,a,a,r,r,a,a,l,l,y,y,s,s,i,i,s,s,L,L,o,o,w,w,K,K,+,+,e,e,x,x,c,c,r,r,e,e,t,t,i,i,o,o,n,n,a,a,n,n,d,d,n,n,o,o,r,r,m,m,a,a,l,l,a,a,c,c,i,i,d,d,-,-,b,b,a,a,s,s,e,e,l,SPP,l,Barium poisoni,ng,l,FPP,l,Hypernatremic HPP,None,Family history,Hypernatremia,High K,+,excretion and,abnormal acid,-,base,Acid,-,base state ?,Clue,Hyperthyroidism ?,l,TPP,YES,NO,Metabolic Acidosis,NH,+,4,excretion,(UAG, UOG),Low,High,Toluene,Profound diarrhea,RTA,Metabolic Alkalosis,R,enin,Normal,GS or BS,Diuretics,Vomiting,High,Primary,mineralocorticoid excess,Aldo,Aldo,Primary,Aldo,steronism,Licorice use,AME,Ectopic ACTH,Liddle syndrome,Lin SH et al. Am J Emerg Med 2003 (,2,Low Renin,Low Aldosterone,Cortisol,Ectopic ACTH,Cushing syndrome,Liddles,Licorice,AME DOC,11,b,hydorxylase D,17,a,hydorxylase D,High,Normal,Low,Lin SH, et al. Am J Med Sci 2003; 325: 153-156.,3,How to supply K,Decrease 1 meq/L means deficient 200400 meq K,Check the Osmolarity and Acid-base status, especially DKA and acidosis will mask the K deficient condition,Dont use sugar content IVF,Cl,Every bottle 6.5,Late, 5.5,6,Summary,Please collect urine before supplement,Check,Serum,: Na, K, Cl, Ca, P, Mg, BUN, Cr, Osmo, Ht, Hct, (,P,抽完先請檢驗室離心處理檢體否則cell lysis 會影響數據),Check,Urine:,Na, K, Cl, P, Ca, Mg, Cr, Osm, (uric acid, Urea, protein),Check Blood gas: vein is also OK,如有 elevated GOT, please check CPK,We are always available !,7,8,