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nephrology diagnosis renal acute algorithm biomarkers causes chronic definitions differential dosing hepatology hepatorenal hrs hrsaki hrsckd hrsnaki hyperkalemia k kidneydisease
Definitions of AKI, CKD, AKD Acute Kidney Injury (AKI): • Increase in SCr by 2 50% within
, CKD, AKD Acute ... • GFR < 60 ml/min ... OR • GFR < 60 ... • Decrease in GFR ... • GFR ≥ 60 ml/min
Interpreting Kidney Biomarkers ↑ Creatinine: • AKI, CKD • Medications that lead to nephroprotective ↓ in
Creatinine: • AKI ... , CKD • Medications ... nephroprotective ↓ in GFR ... Cystatin C: • AKI ... , CKD • Obesity
Adjusted Pain Medication Dosing based on GFR #Renal #Dosing #Pain #Pharmacology #Opiates #CKD #Gabapentin #Table
Dosing based on GFR ... #Dosing #Pain #Pharmacology ... #Opiates #CKD # ... Gabapentin #Table
Effects of Prostaglandins and NSAIDs on the Kidney Effects of Prostaglandins on the Kidney: • The vasodilatory
NSAIDs on the Kidney ... is increased in CKD ... use in CKD with ... GFR > 30 and complete ... avoidance with GFR
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Diagnostic Criteria HRS-AKI ... e.g. diuretics, NSAIDs ... No structural kidney ... Type 2) • HRS-AKD ... ascites • HRS-CKD
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic Kidney ... function (eGFR ... eosinophiluria) • Drugs (NSAlDs ... ) • Multiple myeloma ... Hyperphosphatemia #CKD
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
K+, ACEi/ARBs, NSAIDs ... esp w oliguria / GFR ... Labs: BMP (Assess GFR ... status to improve GFR ... sufficient if intact GFR
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