F00574 016 f009

*

— Alkalosis

? Redistribution

— Insulin excess

into cells

— Catecholamine fe-agonists

\

— Hypokalaemic periodic paralysis

r ~\

9 I k intakp

r— Dietary l.v. therapy

1

(IN/i^oceił/o Ić 1 aoooc

Unne K1

CAk/^blYt) r\ lUboub

| Unne K

> 20-30 mmol/day 1

1 < 20-30 mmol/day

RENAL

GASTROINTESTINAL

With hypertension

With alkalosis

• Hyperatdosteronism

Vomiting

V- (incl. Conn’s syndrome)

Nasogastric aspiration

2* (with renal ischaemia)

With acidosis

• Other forms of mineralocorticoid

Diarrhoea

receptor activation

Laxative abuse

Cushings syndrome/ectopic ACTH

Villous adenoma of rectum

Corticosteroid therapy

Bowel obstruction/fistula

Apparent mineralocorticoid excess

Ureterosiamoidostomy

Liquorice/carbenoxolone

•    Liddles syndrome

With normal-low blood pressure

•    With alkalosis

Diuretic therapy (loop and thiazide) Barttefs and Gitelman’s syndromes

• With acidosis

Renal tubular acidosis (types 1 and 2) Carbonic anhydrase inhibitor therapy

• Wth variable pH

Post-obstructive diuresis

Recovery after acute tubular necrosis Mg depletion