George Bakris
@BakrisGeorge
ID:1175820293572583424
22-09-2019 17:13:12
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667 Followers
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Home Dialyzors News George Bakris Swapnil Hiremath @[email protected] Gary Singer @[email protected] Matthew Sparks, MD KidneyColloquium Integrity CE Dr Anastasia Mihailidou FAHA FCSANZ FESC Rajiv Agarwal MD, MS Edgar V. Lerma 🇵🇭 ChristosArgyropoulos MD, PhD FlozinatorInChief ErichDitschman Wael Hussein Miriam Godwin Outset Medical Curtis Warfield Graham Abra, MD Medical Education Institute Dawn Tonya Saffer, MPH Keith Lester Satellite Healthcare Vanessa Tim Fitzpatrick Patrick O. Gee, Ph.D. JLC 🤔 How do some meds cause #HyperK & why are these meds important for pts w/ CKD, HF, DM ❓
Home Dialyzors News George Bakris Swapnil Hiremath @[email protected] Gary Singer @[email protected] Matthew Sparks, MD KidneyColloquium Integrity CE Dr Anastasia Mihailidou FAHA FCSANZ FESC Rajiv Agarwal MD, MS Edgar V. Lerma 🇵🇭 ChristosArgyropoulos MD, PhD FlozinatorInChief ErichDitschman Wael Hussein Miriam Godwin Outset Medical Curtis Warfield Graham Abra, MD Medical Education Institute Dawn Tonya Saffer, MPH Keith Lester Satellite Healthcare Vanessa Tim Fitzpatrick Patrick O. Gee, Ph.D. JLC 📣Patients with #ESRD , do your diet or medications contribute to HK?
Home Dialyzors News George Bakris Swapnil Hiremath @[email protected] Gary Singer @[email protected] Matthew Sparks, MD KidneyColloquium Integrity CE Dr Anastasia Mihailidou FAHA FCSANZ FESC Rajiv Agarwal MD, MS Edgar V. Lerma 🇵🇭 ChristosArgyropoulos MD, PhD FlozinatorInChief ErichDitschman Wael Hussein Miriam Godwin Outset Medical Curtis Warfield Graham Abra, MD Medical Education Institute Dawn Tonya Saffer, MPH Keith Lester Satellite Healthcare Vanessa Tim Fitzpatrick Patrick O. Gee, Ph.D. JLC 🤔 What steps can you take to reduce your HK risk ❓
George Bakris Home Dialyzors News Swapnil Hiremath @[email protected] Gary Singer @[email protected] Matthew Sparks, MD KidneyColloquium Integrity CE Dr Anastasia Mihailidou FAHA FCSANZ FESC Rajiv Agarwal MD, MS Edgar V. Lerma 🇵🇭 ChristosArgyropoulos MD, PhD FlozinatorInChief ErichDitschman Wael Hussein Miriam Godwin 📣Patients with ESRD, how was your #HyperK discovered or confirmed?
A.🔎Discovered during a routine blood test
B.⌛️Confirmed as chronic over 1-yr period
C.⏱️Confirmed as acute during ER visit due to abnormal heart rhythm
George Bakris Home Dialyzors News Swapnil Hiremath @[email protected] Gary Singer @[email protected] Matthew Sparks, MD KidneyColloquium Integrity CE Dr Anastasia Mihailidou FAHA FCSANZ FESC Rajiv Agarwal MD, MS Edgar V. Lerma 🇵🇭 ChristosArgyropoulos MD, PhD FlozinatorInChief Let’s kick things off with this poll: 📣Patients w/ ESRD, are you at risk of #HyperK ?
A.Yes, HK is fairly common for pts w/ ESRD
B.No, HK is uncommon for pts w/ ESRD
C.Unsure of rate of HK for pts w/ ESRD
Home Dialyzors News George Bakris Swapnil Hiremath @[email protected] Gary Singer @[email protected] Matthew Sparks, MD KidneyColloquium Integrity CE Dr Anastasia Mihailidou FAHA FCSANZ FESC Rajiv Agarwal MD, MS Edgar V. Lerma 🇵🇭 ChristosArgyropoulos MD, PhD FlozinatorInChief ErichDitschman Wael Hussein Miriam Godwin 📣Patients with ESRD, do you know the severity of your #HyperK diagnosis?
A.Yes, I have mild HK
B.Yes, I have moderate HK
C.Yes, I had severe HK
D.No, I’m uncertain
Dr. Martha Gulati ♥️🫀❤️🩹🇨🇦 George Bakris Thank you for participating in tonight's #HyperK case review! 🙏
We hope to see you again 👇
📅 Thursday, 1/13 @ 6:30 PM
📲 #HyperK patient experience
👥 George Bakris, Dr. Martha Gulati ♥️🫀❤️🩹🇨🇦, & Nieltje (@hdunews) 🙌
George Bakris KidneyColloquium 👉 What key step should be taken to reduce readmission for pts w/ chronic disease at risk for #HyperK ?
A.Provide outpatient follow-up only if warranted by symptoms
B.Avoid discharge education for pts/family, often overwhelming (???!)
C.Provide multidisciplinary care team
George Bakris KidneyColloquium 👉 Now that Jerry is stable, what is the next step to continue optimal management of his case? #HyperK
A.Check K+ only when symptoms of HK emerge
B.Monitor K+ & CKD monthly as outpatient
C.Conduct frequent in-hospital K+ monitoring
George Bakris KidneyColloquium 👉 Our pt is once again taking RAASi at optimal dose & is now following K+ diet, what is the next step in tx? #HyperK
A.Stop or reduce RAASi
B.Start K+ binder (SZC, patiromer) to enable life-saving therapy
C.Continue therapy & monitor serum K+
George Bakris KidneyColloquium 👉RAASi restriction ⤴️ rate of death☠️ & adverse cardiorenal events, negatively impacting pt outcomes. Which step would you take next to provide optimal outcomes? #HyperK
A.Resume RAASi @ min dosing
B.Resume RAASi @ max tolerated dose
C.Continue current tx w/ ⤴️HK monitoring
📢 #medtwitter #nephtwitter 🆓 #CME credit!
Part 2 in our #HyperK Case Review w/ George Bakris & I
Supported by an educational grant from AstraZeneca Pharmaceuticals LP
Swapnil Hiremath @[email protected] Steven Fishbane Anitha Vijayan ChristosArgyropoulos MD, PhD FlozinatorInChief Roger Rodby Gary Singer @[email protected] zipjet
For the next hour, Dr. Martha Gulati ♥️🫀❤️🩹🇨🇦 & I will be discussing #HyperK ! Come join our #HyperK Case Review! Rajiv Agarwal MD, MS, Edgar V. Lerma 🇵🇭, ChristosArgyropoulos MD, PhD FlozinatorInChief
George Bakris Q7: 👏Based on what we know about Kevin, to maintain normal K+ levels predialysis, which agent would you prescribe? #HyperKChat