Discover and read the best of Twitter Threads about #askrenal

Most recents (5)

Touch contamination: The overall rate of peritonitis was low after contamination (2012)

πŸ“Œ Wet contamination was asso. w/ ⬆️ risk of peritonitis

πŸ“Œ Prophylactic antibiotics after wet contamination were effective in preventing peritonitis #Nephpearls

πŸ‘‰πŸΌ ncbi.nlm.nih.gov/pmc/articles/P…
Touch contamination: Prophylactic antibiotics are usually recommended after wet contamination (if dialysis solution is infused after contamination, or if catheter administration set was open for an extended period) ca. 2016 from @ISPD1 #Nephpearls
πŸ‘‰πŸΌ pdiconnect.com/content/36/5/4…
Touch contamination: Algorithm ca. 2006 from @Kidney_Int #Nephpearls
πŸ‘‰πŸΌ kidney-international.org/article/S0085-…
Read 5 tweets
Can anyone recommend a ml/kg/hour fluid replacement add on for each degree of fever above 37? Patients are not spiking, they are pyrexial for days. What’s the fluid replacement/insensible loss equation for this scenario?
Or perhaps more a SA rather than Kg issue πŸ€” Anyway, all I can find is 250ml per degree per day from a surgical textbook. That seems reasonable for a temp spike whilst NBM awaiting theatre, but not the persistent temps.

Any ideas #askrenal?
It is very reassuring to find other people struggling to answer this problem. Please come back to me if you find a solution.
Read 3 tweets
I wanted to take some tweets to talk about someone youalready know: @Nephro_Sparks. He is a social media leader and can often be found heading up multiple projects at once. What you don't see is his work in our fellowship @DukeKidney as our assistant program director (thread 1/n)
If you have seen him on @NephJC or during #askrenal threads, you know that he is smart, kind, and most importantly he is always looking to support/prop up others. This might be hard to believe, but he is actually even more like this in person. 2/n
He is actively involved in basic science research in multiple projects and is a great mentor to countless students and residents @DukeU . He is always fighting for more diversity in our field and encourages all of us to get on twitter to share in more learning opportunities. 3/n
Read 8 tweets
Preparing for a 45-minute lecture on Review of Nephrology Literature 2019
πŸ“Œ Please recommend noteworthy publications
πŸ”² Fluids & Electrolytes, Acid-Base
πŸ”² CKD
πŸ”² Hypertension
πŸ”² Glomerular Diseases
πŸ”² Cystic Disorders
πŸ”² Kidney Transplant
πŸ”² AKI
#Nephpearls #AskRenal
CREDENCE: Canagliflozin reduces the risk of kidney failure or death due to CV or kidney disease by 30% compared to current standard of care ca. 2019 from @NEJM
#VisualAbstract by @brendonneuen
#Nephpearls
πŸ‘‰πŸΌ nejm.org/doi/pdf/10.105…
Randomized Controlled Trial of Long-Term Safety and Efficacy of Veverimer for Treatment of Metabolic Acidosis
#Nephpearls
Read 18 tweets
1/ Alright #medtwitter and #askrenal, in honor of our CJASN publication "Associations of Opioid Prescriptions with Death and Hospitalization across the Spectrum of Estimated GFR," I'm attempting my first #tweetorial. Here's what you need to know about opioids in CKD.
2/ First of all, pain is common for people with kidney disease because of vascular disease, diabetic neuropathy, and pain syndromes unique to kidney patients like osteodystrophy and calciphylaxis. In fact, an estimated 58% of people with advanced CKD experience pain.
3/ People with kidney disease have limited options for pain control. NSAIDs can lead to Na/K/H20 retention, AKI and CKD. Tylenol is okay, but never seems to work. As a result almost half of patients with advanced CKD are prescribed opioids.
Read 19 tweets

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