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Nephrology

General Hospital Medicine   

Questions discussed in this category

What is your approach to IV fluid management for the treatment of hypercalcemia of malignancy?
Is there an advantage between saline and LR?
1 Answer available
What is your approach to initiating spironolactone in patients with end stage kidney disease and heart failure?
5 Answers available
When giving albumin challenge, for acute kidney injury with suspected hepatorenal syndrome, do you administer a single dose daily or split the dose of albumin?
1 Answer available
Do you recommend IV sodium bicarbonate for patients with rhabdomyolysis and AKI without metabolic alkalosis or hypocalcemia?
4 Answers available
How many days prior to surgery do you recommend stopping SGLT2 inhibitors and when is it safe to resume therapy?
2 Answers available
What is your approach to electrolyte repletion for patients hospitalized with cardiac and non-cardiac conditions?
For example, do you target K >4 and Mg >2?
2 Answers available
How do you use NT-proBNP in patients with chronic kidney disease or end-stage kidney disease, given that these conditions can affect NT-proBNP levels?
1 Answer available
What factors influence your decision to start salt tablets, urea, or a vaptan first in the management of a patient diagnosed with SIADH?
3 Answers available
What are some practical tips for when a patient's consistently stated goals of care do not correlate with their actions?
For example, what do you do when someone requests aggressive, life-prolonging treatments but then is not receptive to elements of day-to-day care in t...
4 Answers available
Do you recommend fluid restriction in addition to other management strategies for patients with hyponatremia due to SIADH?
6 Answers available
How do you manage catheter-associated, upper extremity superficial venous thrombosis?
Do you prefer anticoagulation? Is there a role for aspirin? How strongly do you recommend line removal?
1 Answer available
How do you weigh the benefit of urinary catheter placement for strict I/O measurement with the risk of avoidable CAUTI?
How does your approach vary by indication (critical illness, acute renal failure, hyponatremia, diuresis, etc.)?
1 Answer available
What is your approach to discharge planning for a patient with chronic SIADH who is admitted with asymptomatic acute-on-chronic hyponatremia?
How do you establish an acceptable baseline serum sodium? How do you decide between non-pharmacological interventions, such as fluid restriction vs th...
1 Answer available
How do you reconcile the risk of contrast-induced nephropathy (CIN) with the diagnostic benefit of contrasted CT in patients with AKI/CKD?
Does your approach change with venous vs arterial contrast?
1 Answer available
How do you recommend incorporating B-lines on lung POCUS as part of evaluating a patient's volume status?
In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema,...
1 Answer available
What is your approach to managing incidental hypertension without evidence of end-organ damage in hospitalized patients?
How do you consider prn antihypertensives while admitted and/or adjusting a home antihypertensive regimen?
1 Answer available
What is your approach to managing concurrent severe SIADH and large-volume malignant ascites when aggressive volume removal appears to exacerbate both symptoms and hyponatremia?
For example, would you consider alternatives to paracentesis (Denver shunt placement, CART therapy, or permanent tunneled catheters) that might better...
1 Answer available


Papers discussed in this category

Kidney international, 2019-04
Safety and cardiovascular efficacy of spironolactone in dialysis-dependent ESRD (SPin-D): a randomized, placebo-controlled, multiple dosage trial.
Kidney360, 2023 Feb 10
Effects of Spironolactone on Arrhythmias in Hemodialysis Patients: Secondary Results of the SPin-D Randomized Controlled Trial.
Frontiers in medicine, 2022 Mar 17
Safety and Efficacy of Spironolactone in Dialysis-Dependent Patients: Meta-Analysis of Randomized Controlled Trials.
The international journal of cardiovascular imaging, 2021 Feb 05
The effect of spironolactone on diastolic function in haemodialysis patients.
Journal of clinical hypertension (Greenwich, Conn.), 2015 Jul 30
Long-Term Effects of Low-Dose Spironolactone on Chronic Dialysis Patients: A Randomized Placebo-Controlled Study.
Kidney international, 2019 Jan 31
A randomized controlled trial of the effect of spironolactone on left ventricular mass in hemodialysis patients.
JAMA, 2012-01-11
Serum potassium levels and mortality in acute myocardial infarction.
Mayo Clinic proceedings, 2015 Aug
Dysmagnesemia in Hospitalized Patients: Prevalence and Prognostic Importance.
Circulation, 2017 Oct 03
Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association.
Heart rhythm, 2017 Oct 30
2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
The New England journal of medicine, 2025 Aug 29
Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias.
Annals of emergency medicine, 2006-01
Prevalence of negative chest radiography results in the emergency department patient with decompensated heart failure.
European journal of endocrinology, 2023 Aug 02
Effect of protein supplementation on plasma sodium levels in the syndrome of inappropriate antidiuresis: a monocentric, open-label, proof-of-concept study-the TREASURE study.
JACC. Heart failure, 2024 Aug 31
Natriuretic Peptides, Kidney Function, and Clinical Outcomes in Heart Failure With Preserved Ejection Fraction.
JAMA internal medicine, 2021 Mar 01
Treatment and Outcomes of Inpatient Hypertension Among Adults With Noncardiac Admissions.
The New England journal of medicine, 2021 Mar 04
A Randomized Trial of Albumin Infusions in Hospitalized Patients with Cirrhosis.
The New England journal of medicine, 2023 Oct 19
The Syndrome of Inappropriate Antidiuresis.
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2024 Sep 27
Hyponatraemia-treatment standard 2024.
JAMA, 2025 Sep 15
Superficial Vein Thrombosis: A Review.

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