Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It’s NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl!
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Show Segments
Time stamps refer to the ad-free version
00:00 Introduction and Guest Bio07:46 Case Presentation08:42 Initial Approach to CKD Management09:10 Metabolic Acidosis in CKD13:30 Consequences of Metabolic Acidosis22:28 Administration of Bicarbonate23:54 Alternative Options for Bicarbonate Repletion24:47 Citrate and Bicarbonate26:02 Sodium Bicarbonate for CKD30:19 Dietary Modifications33:35 Renal Diet38:20 Counseling CKD Patients41:39 Veverimer and Other Treatments44:36 Mistakes and Pitfalls46:55 Conclusion
Credits
Writer and Producer: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Timothy Yau MD
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