Thursday, August 6, 2009

Renal Tubular Necrosis

Type I: distal; inability to secrete H+; hpokalemia; Rx: correct acidosis with sodium bicarbonate
Type II: proximal; inability to reabsorb bicarbonate; hypokalemia; Rx: Na restriction
Type IV: distal; hypoaldosteronism or aldosterone resistance; hyperkalemia, H+ in urine

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