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Dialysis and Renal Replacement Therapy

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Definition of ESRD. Renal replacement therapy serves as a substitute for the kidney’s solute and fluid removal role. -In the acute setting: CVVH vs. HD can be used. -In the chronic setting: PD vs. HD can be used. -Kidney transplantation is an option for patients...

hypophosphatemia

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-Definition: -Causes of hypophosphatemia, reviewed. -Will check Vit D level, PTH, Calcium level. -Replacement of phosphate.  

Hyperkalemia Treatment

Clinic A/P, adults, Hospital A/P, Adults, Pharmacy and Therapeutics

For mild elevation (5 to 6 mEq/L), remove potassium from the body with Furosemide and Kayexalate. For moderate elevation (6 to 7 mEq/L), shift potassium intracellularly with Glucose plus insulin, Sodium bicarbonate, and Nebulized albuterol For severe elevation (>7...

Venous access: IV Lines

Hospital A/P, Adults, Hospital A/P, Peds, Pharmacy and Therapeutics

Common Types and Uses of Venous Access Devices NB: “In order to preserve veins for future hemodialysis access (fistula or graft), it is essential to consult with the nephrologist before placing upper extremity or subclavian lines of any type in patients who...

Heart Failure with Reduced Ejection Fraction (HFrEF)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Systolic Heart Failure -Definition / Diagnostic criteria reviewed. -Classification reviewed: -Nonpharmacologic & pharmacologic treatments reviewed.   Important Links ProBNP is low in Obese Patients. BNP and NT-pro BNP. Chronic Heart Failure Classification and...

Hypernatremia, Acute

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-Patient with hypernatremia. Likely Acute hypernatremia. Unlikely to be chronic hypernatremia. -Water deficit developed in less than 48 hours. -Will correct hypernatremia rapidly.
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