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Peritoneal Dialysis

Inpatient Management Guide Definition Basics of dialysis: Dialysis — passive movement of solutes across a semipermeable membrane down a concentration gradient. It works via diffusion. Ultrafiltration — fluid removal across a semipermeable membrane down a pressure gradient. Solute are removed along with fluid via convection and solvent drag For iHD (intermittent hemodialysis), blood is filtered … Read more

Hyperkalemia

Inpatient Management Guide Definition Hypokalemia Mild hypokalemia—potassium 3.1–3.5 mEq/L Moderate hypokalemia—potassium 2.5–3 mEq/L Severe hypokalemia—potassium < 2.5 mEq/L, or symptomatic Hyperkalemia Mild hyperkalemia—potassium 5.1–5.4 mEq/L Moderate hyperkalemia—potassium 5.5–5.9 mEq/L Severe hyperkalemia—potassium >6.0 mEq/L. Etiology Hypokalemia Most common causes: GI losses—vomiting, diarrhea, laxative abuse Diuretic use (thiazides, metolazone, loop diuretics) Other drugs (beta agonists, caffeine, verapamil, … Read more

Dialysis Basics

Inpatient Management Guide Definition Basics of dialysis: Dialysis — passive movement of solutes across a semipermeable membrane down a concentration gradient. It works via diffusion. Ultrafiltration — fluid removal across a semipermeable membrane down a pressure gradient. Solute are removed along with fluid via convection and solvent drag For iHD (intermittent hemodialysis), blood is filtered … Read more

CKD

Inpatient Management Guide Definition KDIGO Guidelines[1] – presence of one or both of the following: GFR < 60mL/min/1.73 m2 for ≥3 months Kidney damage as evidenced by ≥1 of Albuminuria >30 mg/24h Urine sediment abnormalities Electrolyte or other abnormalities due to tubular disorders Abnormal histology Abnormal structure detected by imaging History of kidney transplant Etiology … Read more

Chronic Kidney Disease

Inpatient Management Guide Definition KDIGO Guidelines[1] – presence of one or both of the following: GFR < 60mL/min/1.73 m2 for ≥3 months Kidney damage as evidenced by ≥1 of Albuminuria >30 mg/24h Urine sediment abnormalities Electrolyte or other abnormalities due to tubular disorders Abnormal histology Abnormal structure detected by imaging History of kidney transplant Etiology … Read more

AKI

Inpatient Management Guide Definition General AKI definition: Creatinine (Cr) increase by ≥0.3 mg/dL or ≥1.5 times the baseline within 48 hours Cr increase by ≥1.5 times the baseline within 7 days Urine volume of < 0.5 mL/kg/hr for more than 6 hours KDIGO classifications (2012): Unified the definition of AKI from the RIFLE criteria[1] (2004) … Read more

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