Apr 09 2021
SALSA RCT – Hypertonic Saline Bolus vs Infusion for Hyponatremia
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Intermittent boluses of hypertonic saline for treatment of moderate-to-severe hyponatremia has similar efficacy to a continuous infusion and may be easier to administer with less risk of overcorrection.
Mar 03 2021
Can We Use LR for Hyperkalemia?
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Use of balanced fluid, such as LR, did not increase the risk of severe hyperkalemia, even when given to patients with a K of 6.5 mmol/L.
Dec 09 2020
Personalized Pressors – REACT Study Group
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A personalized approach to vasopressor management may improve kidney outcomes. Read on to see how this works.
Nov 20 2020
Neurons or Nephrons – Creatinine Screening for Stroke Imaging
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Elimination of creatinine pre-screening before IV contrast in patients with suspected stroke did not change rates of contrast induced nephropathy, hemodialysis, or mortality.
Sep 30 2020
A SMARTer Way to Give Fluid in Septic Patients
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Starting balanced crystalloid fluid resuscitation vs normal saline early, while still in the ED as opposed to the ICU, appears to have mortality benefit among critically ill patients with sepsis.
Jun 26 2020
Major Consensus Statement on IV Contrast Nephropathy
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This is a summary of the major ACR/NKF consensus statements.
Jan 01 2020
Insulin-Glucose for Hyperkalemia – How Bad Is Hypoglycemia?
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style="white-space:pre-wrap;">Administering 10 units of IV regular insulin plus 25g of IV dextrose causes highly variable changes in blood sugar. Delayed hypoglycemia is common, requiring frequent glucose monitoring.
Dec 13 2019
Does IV Contrast Cause AKI in Critically Ill Patients?
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style="white-space:pre-wrap;">Use of low osmolar IV contrast in critically ill patients did not appear to increase risk of acute kidney injury.
Sep 10 2019
Is There a Better Way to Image Renal Colic?
Ultrasound appears to be best in most renal colic clinical scenarios. CT is best in older patients (especially with no stone history), those with tenderness on abdominal exam, and those with uncontrolled pain.
Aug 02 2019
Sodium Polystyrene for Hyperkalemia and Serious GI Events
In this large population-based study, sodium polystyrene sulfonate use in elderly outpatients was associated with an almost 2-fold higher risk of serious adverse GI events within 30 days of initial prescription. The absolute risk increase was small, however.