Time for another #tweetorial on fluid restriction in #hyponatremia from SIADH. Is there a way to predict which patients with SIADH will respond to fluid restriction?

1/ I find the over reliance on the Adrogue-Madias (AM) formula to predict SNa changes after infusion of a specific IV fluid astounding. #hyponatremia tweetorial

CKD disproportionately affects those of minoritized race and ethnicity. This Perspective describes the transition from the clinical use of eGFR with the race variable to reporting eGFR without race at UW Nephrology bit.ly/KID0006522021 Naomi Nkinsi MD, MPH

Updates on treatment of type 2 diabetic mellitus with CKD by Prof Lim Soo Kun. Other than renoprotection, SGLT2 inhibitor has effects on other organs as well. #ISNWCN World Congress of Nephrology Int Society of Nephrology

Core Curriculum by James Novak, MD PhD FACP FASN FNKF and David Ellison: Pharmacology and therapeutic use of diuretics in states of volume overload and strategies to overcome diuretic resistance bit.ly/3BTbVYb (FREE)

ACE inhibitors and ARBs are not “nephrotoxins.” They improve renal blood flow. But they reduce GFR, and impair potassium elimination. Which is why we might hold them in [severe and/or worsening] AKI.

What causes anemia in CKD ?? ALL OF THESE !! 1. ⬇️EPO production 2. Blood loss during dialysis 3. Nutritional deficiencies 4. BM fibrosis (2°hyperparathyroidism) 5. ⬇️RBC lifespan #MedTwitter plz add more !! Dr. Divya Bajpai 🇮🇳 Dr Ganesh Srinivasa Prasad Neeraj Inamdar

Should you give albumin with loop diuretics to augment diuresis? I've been asked this three different times today so a quick🧵of my thoughts #nephtwitter #MedTwitter MedTweetorials

1st day of intern year secured ✅

1/All the formulas that predict serum sodium (SNa) changes are simply mathematical manipulations of the Edelman equation. Let’s derive the Adrogue-Madias formula

We need to have more goals of care discussions with our patients

#Sepsis associated acute kidney injury can occur in the absence of overt signs of hypoperfusion and hemodynamic instability. 👇Microcirculatory and inflammatory alterations in sepsis-associated #AKI 🔗sciencedirect.com/science/articl… Click 'ALT' for figure description #Nephpearls #MedEd

Causes and Effects of Hyperhydration and Dehydration #medtwitter #foamed #meded #medicine

Fact #1: In the "average" patient, a dose of 100 mg iv furosemide is safer than 1 liter iv crystalloids Fact #2: In every patient, a dose of 100 mg iv furosemide is ALWAYS safer than 1 liter iv crystalloids

Last month of intern year 🥲

Last day of intern year completed 🥲✅

Did you know that to induce contrast nepphropathy in rats, in addition to a load of contrast you also have to give them an NSAID and block natural vasodilation with a nitric oxide inhibitor?

✅ FURST formula for calculating fluid restriction for correction of hyponatremia #Nephpearls 👉🏼 ncbi.nlm.nih.gov/m/pubmed/25995…

Horacio Adrogué is going hard that his formula is right and the data showing that it doesn't work is from people holding it wrong #KidneyWk