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AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm

DOI: 10.1136/bmj.m2687

#AKI #Cirrhosis #Hepatorenal #Syndrome #HRS #Management #Algorithm #nephrology
in Cirrhosis - Hepatorenal ... Syndrome Management ... AKI #Cirrhosis #Hepatorenal ... #Syndrome #HRS ... #Management #Algorithm
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Hepatopulmonary Syndrome ... (HPS) • Hepatorenal ... Syndrom (HRS) ... Complications #diagnosis #management
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... terlipressin (intravenous ... EricsMedicalLectures/ #Hepatorenal ... #Syndrome #Treatment ... #management #HRS
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Syndrome (HRS) ... amzn.to/34t5DgJ #HRS ... #HepatoRenal #Syndrome ... #Nephrology #Management ... #Pharmacology #
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
Hepatorenal Syndrome ... Diagnosis and Management ... HershShroff #Hepatorenal ... #Syndrome #HRS ... #Diagnosis #Management
Intravenous Lipid Emulsion (ILE) Therapy

ILE is a treatment for severe toxicity from local anesthetics. In addition,
Intravenous Lipid ... In addition, it has ... Kat_Watson #Intravenous ... Therapy #Toxicology #Management ... #Pharmacology #
Antiplatelet Conversion - Switching Between P2Y12 Inhibitors
Oral P2Y12 inhibitors vary in potency and pharmacokinetic and dynamic
acute coronary syndrome ... patients (ACS) has ... Switching Between Intravenous ... ticagrelor #prasugrel #pharmacology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Propofol infusion syndrome ... x > 6 hrs) can ... No pharmacologic ... (Haldol) - No pharmacologic ... CriticalCare #diagnosis #management
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... Volume (Ascites, HRS ... , Hydrothorax, Hepatorenal ... Syndrome - Tx ... Checklist #Mnemonic #Management
Methotrexate Toxicology 

Intravenous leucovorin (folinic acid) treatment serves as a cofactor necessary for synthesis of thymidylate
Toxicology Intravenous ... for determining intravenous ... the following has ... Toxicology #Toxicity #Management ... #Pharmacology