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Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Renal Replacement ... Dialyzer is rigid case ... (Continuous renal ... MD @nickmmark #Renal ... #managment #nephrology
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 • CVVHD - Continuous Veno-Venous hemodialysis -
Continuous Renal ... Replacement Therapy (CRRT ... #Continuous #Renal ... #Indications #Nephrology ... #Management
Continuous Renal Replacement Therapies (CRRT) - Comparison
 - Continuous Veno-venous Hemofiltration (CVVH) utilizes convection. Replacement fluid
Continuous Renal ... Replacement Therapies (CRRT ... ) - Comparison ... #Continuous #Renal ... #Comparison #Nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
→ Refer to Nephrology ... for renal biopsy ... • Risk factors ... cystoscopy • Refer to Nephrology ... if cause not identified
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
Renal Replacement ... HD machine • CRRT ... (Continuous renal ... @nickmmark #Renal ... #managment #nephrology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... over-diuresis, dialysis/CRRT ... #diagnosis #management ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... over-diuresis, dialysis/CRRT ... #diagnosis #management ... #differential #causes ... #classification
NSAID vs ACEI/ARB effects on the Kidneys

Remember that NSAIDs and ACEI/ARB therapy have opposing effects on
NSAIDs cause vasoconstriction ... use shouldn't cause ... additional risk factors ... ACEIARB #Effects #Nephrology ... #Renal #Pathophysiology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Distal #Diagnosis #Management ... #Nephrology #Causes
Renal involvement in 35% of mixed cryoglobulinemia vasculitis 
Associated with : 
 • Absence of skin
Renal involvement ... Dialysis (%) - 5% Factors ... TerrierBen #Renal ... Cryoglobulinemia #Vasculitis #Management ... Cryoglobulinemic #Nephrology