Disorders of Potassium: Physiology Mnemonics Flashcards

1
Q

What does the mnemonic ‘K-PUMP’ represent in potassium physiology?

A

Keeps intracellular K⁺ high, Pumps 3 Na⁺ out and 2 K⁺ in, Upholds resting membrane potential, Maintains cell volume, pH balance

This mnemonic helps remember the functions of Na⁺/K⁺-ATPase.

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2
Q

What is the ‘60-25-10’ Rule in renal K⁺ handling?

A

60-80% reabsorbed in PCT, 25% in TALH, 10% secreted in distal nephron

This rule summarizes the distribution of potassium reabsorption and secretion in the kidneys.

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3
Q

What does the mnemonic ‘LOW K’ stand for regarding hypokalemia causes?

A

Loss (renal/GI), Oral intake poor, Whipped into cells, Kidney wasting

This mnemonic identifies the major causes of hypokalemia.

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4
Q

What are the triggers for transcellular shifts of potassium represented by ‘K-BAN’?

A

K⁺ shift (insulin, β₂-agonists), B12 therapy, Alkalosis, Na⁺/K⁺-ATPase stimulants

This mnemonic helps remember factors that can cause potassium to shift into cells.

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5
Q

What ECG changes are associated with hypokalemia, summarized by ‘QUiT’?

A

Q waves, U waves, T wave flattening

These changes are characteristic of hypokalemia on an ECG.

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6
Q

What does ‘BIG-C’ represent in Bartter syndrome?

A

Big urine Ca²⁺, Infant onset, Genetic (NKCC2/ROMK), Cl⁻ wasted

This mnemonic highlights key features of Bartter syndrome.

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7
Q

What are the characteristics of Gitelman syndrome summarized by ‘G-SMALL’?

A

Good Ca²⁺ retention, Subtle onset (teens/adults), Mg²⁺ low, Aldosterone ↑ (mild), Low BP, Lifelong supplements

This mnemonic outlines important aspects of Gitelman syndrome.

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8
Q

What causes hypertensive hypokalemia as indicated by ‘PLACE’?

A

Primary aldosteronism, Liddle syndrome, Apparent mineralocorticoid excess, Congenital adrenal hyperplasia, Endocrine (Cushing’s)

This mnemonic helps remember conditions leading to hypertensive hypokalemia.

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9
Q

What does the mnemonic ‘K-SLOW’ represent in IV K⁺ replacement?

A

K⁺ ≤10 mEq/hr, Serial ECG monitoring, Labs every 2-4 hrs, Oral preferred if stable, Watch for rebound hyperkalemia

This mnemonic provides guidelines for safe potassium replacement therapy.

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10
Q

What does ‘SPAM’ stand for in potassium-sparing drugs?

A

Spironolactone, Potassium-sparing diuretics, Amiloride, MR antagonists (eplerenone)

This mnemonic lists common potassium-sparing medications.

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11
Q

What is the case-based mnemonic for HypoPP?

A

Ca²⁺ channel mutation, Na⁺ channel mutation, Move K⁺ into cells → paralysis

This mnemonic summarizes the pathophysiology of HypoPP.

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12
Q

What does the mnemonic ‘SWEET Poison’ refer to in Licorice Toxicity?

A

Suppresses 11β-HSD2, Water retention, Endogenous cortisol acts as mineralocorticoid, Elevated BP, Treat with amiloride

This mnemonic outlines the effects and treatment of licorice toxicity.

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13
Q

What does the ‘98-2 Rule’ describe in potassium distribution?

A

98% intracellular, 2% extracellular

This rule provides a quick reference for potassium distribution in the body.

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14
Q

What does ‘ENaC-R’ describe in renal K⁺ secretion?

A

ENaC activity + ROMK = K⁺ secretion

This mnemonic helps remember the mechanism of potassium secretion in the kidneys.

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15
Q

What ECG changes are indicated by the mnemonic ‘QUiT’?

A

Q waves, U waves, T wave changes

This mnemonic is relevant for recognizing hypokalemia on ECG.

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