Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 β€’ Use gentle soap e.g. Dove
Pruritus Treatment Algorithm ... for Hemodialysis ... Uremic #Uremia # ... Management #Nephrology ... #CKD
Cardiorenal Syndrome (CRS) Types
 β€’ Type 1 - Acute CRS: Alteration of renal perfusion is the
neuro-hormonal and uremia ... Hypertension, CKD ... myopathy, chronic hemodialysis ... Types #cardiology #nephrology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Sepsis β€’ Kidneys: CKD ... valves, COPD, ILD ... , OSA, pHTN, Anemia ... Diagnosis #causes #neurology
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
Pruritus #Treatment #Algorithm ... #Hemodialysis # ... Uremic #Uremia # ... Management #Nephrology ... #CKD
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
U: Symptomatic Uremia ... Components of a Hemodialysis ... in the ICU: β€’ IHD ... Continuous venovenous hemodialysis ... RRT #managment #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... electrolytes, urea ... Rhabdo-myolysis: CK ... #AKI #Workup #Algorithm ... Differential #Diagnosis #nephrology
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 β€’ IHD (Intermittent HD):  3-5 hr
in the ICU: β€’ IHD ... Corrects uremia, ... Continuous venovenous hemodialysis ... Gently corrects uremia ... RRT #managment #nephrology