20 results
AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm

DOI: 10.1136/bmj.m2687

#AKI #Cirrhosis #Hepatorenal #Syndrome #HRS #Management #Algorithm #nephrology
AKI in Cirrhosis ... - Hepatorenal Syndrome ... #Hepatorenal #Syndrome ... #HRS #Management ... #Algorithm #nephrology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... in 3 months • Cirrhosis ... nephrotoxics (e.g. diuretics ... disease - Cirrhosis ... #Hepatorenal #Syndrome
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... failure, liver cirrhosis ... and nephrotic syndrome ... and nephrotic syndrome ... #Nephrology #Pharmacology
Pharmacokinetics of commonly used diuretics medications in CKD, Cirrhotic Ascites, and Heart Failure
 • Furosemide
 •
commonly used diuretics ... medications in CKD, Cirrhotic ... Spironolactone MCW Nephrology ... MCW_Nephrology #diuretics ... #pharmacology #
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... (e.g. advanced cirrhosis ... output and/or ↓ diuretic ... #Hepatorenal #Syndrome ... #nephrology #criteria
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Renal losses, Diuretic ... Ketonuria, Osmotic diuresis ... Stress, Drugs, Syndrome ... , Cirrhosis, Cardiac ... Algorithm #Causes #nephrology
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
of Hepatorenal Syndrome ... (HRS) Midodrine ... amzn.to/34t5DgJ #HRS ... #HepatoRenal #Syndrome ... #Pharmacology #
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... especially thiazide diuretics ... heart failure • Cirrhosis ... • Nephrotic syndrome ... #Hyponatremia #Nephrology
Causes of Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
- Alcoholism (cirrhosis ... Saline or osmotic diuresis ... Drugs: - Loop diuretics ... disorders: - Syndrome ... medications #drugs #pharmacology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... especially thiazide diuretics ... heart failure • Cirrhosis ... • Nephrotic syndrome ... #Hyponatremia #Nephrology