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AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology

Get a grip on acute kidney injury (AKI) with Dr. Joel Topf (AKA @kidney_boy), Kashlak’s Chief of Nephrology! We’ve put together an AKI highlight reel - focusing on practical tips and tricks to help you identify, diagnose and manage AKI, plus how to recognize AIN and random myths and musings on vancomycin, NSAIDS, contrast nephropathy, and the risk of NSF from gadolinium.

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!

Credits

Time Stamps

00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP

00:30 Intro, disclaimer, guest bio

03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);

08:45 Sponsor - Pediatrics On Call podcast by APP

09:15 Definition of acute kidney injury (AKI) and fundamentals

11:00 Cardiorenal syndrome

12:24 Schema for AKI

17:30 Establish an etiology, determine urine output and address electrolyte abnormalities

21:22 AKI in the otherwise-healthy patient;

32:20 Rhabdomyolysis 38:21 Vancomycin

41:43 Acute interstitial nephritis (AIN)

44:52 Contrast induced nephropathy (CIN)

50:37 Gadolinium in AKI and/or CKD

52:53 Timing of dialysis 

56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;

62:01 Is Ultrasound necessary in AKI 

64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology

68:45 Outro and Sponsor - VCU Health CE

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Panacea Financial

If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.

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