1Volume-Depleted AKI
NS/Balanced Fluids
2Fluid-Overload AKI
Loop diuretics (-500-1000mL/day & -0.5-1kg/day)
3HTN w/ or w/o DM2 CKD
ACEi/ARB or Non-DHP CCB
4DM2 w/ or w/o HTN CKD
SGLT2i or Finerenone (Kerendia)
5What labs for CKD? What values?
eGFR <60 & UACR >/=30
6CKD Lab Monitering
eGFR every 3 months, UACR annualy
7When ESA for CKD normocytic anemia?
Hgb <10, increase 1-2g/dL/month, goal of 10g/dL,
8ESA
Epoetin Alfa (Epogen/Procrit)
9ESA Lab monitoring
monthly (weekly preffered)
10When Iron Supplementation?
Tsat <30%, Ferritin </=500ng/mL
11Iron Supplementation
FeroSul (PO), Iron Sucrose (Venofer) (IV)
12Iron Lab Monitoring
monthly
13Hyperphosphatemia (>5.5mg/dL)
Sevelamer Carbonate (Renvela) w/ meals
14Hyperparathyroidism (>600pg/mL)
Checalciferol, Calcitriol (Rocatrol/Calcijex)
15HyperPTH, HyperCa, HyperPhos
Calcimemetics (Cinacalcet, Etelcalcetide)
16HD Hypotension
Midodrine
17Hypertension
Manage HTN meds
19HD Thrombosis
NS Flush + Alteplace/Reteplace
20PD Hyperglycemia
Paretoneal Insulin
21PD Malnutrition
Diet change, TPN