The Curbsiders Internal Medicine Podcast

#430 CKD, Metabolic Acidosis, Baking Soda vs Fruits and Veggies. It’s NephMadness 2024!

Mar 11, 2024

Exploring the management of metabolic acidosis in CKD, discussing bicarbonate supplementation, alternative options like baking soda and fruits/veggies, dietary modifications, counseling CKD patients, common mistakes, and pitfalls. Dr. Timothy Yau shares insights, focusing on optimizing care and the use of sodium bicarbonate. NephMadness 2024 adds to the excitement with a pod crawl event for internists and intensivists.

53:04

Creator website

Episode guests

Timothy Yau

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Quick takeaways

Incorporating fresh fruits and vegetables in the diet of CKD patients can positively impact outcomes like lower blood pressure and improved potassium levels.

Tailoring treatment recommendations for metabolic acidosis in CKD based on individual patient factors and monitoring trends in bicarbonate levels over time is essential for effective management.

Recent guidelines suggest a more conservative approach to treating metabolic acidosis in CKD, focusing on dietary modifications alongside pharmacologic interventions, with an emphasis on consuming fruits and vegetables for improved patient outcomes.

Deep dives

Focusing on Dietary Solutions for Metabolic Acidosis in CKD

Considering the importance of diet in managing metabolic acidosis in CKD patients, emphasizing the benefits of incorporating fresh fruits and vegetables into the daily diet can be highly beneficial. Evidence shows that a diet rich in fruits and vegetables can contribute positively to outcomes such as lower blood pressure, weight loss, and improved potassium levels, without necessarily causing hyperkalemia in patients with normal potassium levels.

Gaming, Music, Career Advice, and CKD Management Discussion

03:26

Introduction

3min

Introduction to Dr. Timothy Yao and His Hobbies

2min

Mentorship, Career Development, and Chronic CKD Management

8min

Optimizing Finances with Rocket Money

2min

Managing Metabolic Acidosis in Chronic Kidney Disease

21min

Dietary Recommendations for CKD Patients and Metabolic Acidosis

6min

Managing Metabolic Acidosis in CKD Patients

11min

Closing Remarks and Acknowledgements with Call to Action for Feedback and Patreon Access

3min

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 Bio
07:46 Case Presentation
08:42 Initial Approach to CKD Management
09:10 Metabolic Acidosis in CKD
13:30 Consequences of Metabolic Acidosis
22:28 Administration of Bicarbonate
23:54 Alternative Options for Bicarbonate Repletion
24:47 Citrate and Bicarbonate
26:02 Sodium Bicarbonate for CKD
30:19 Dietary Modifications
33:35 Renal Diet
38:20 Counseling CKD Patients
41:39 Veverimer and Other Treatments
44:36 Mistakes and Pitfalls
46:55 Conclusion

Credits

Writer and Producer: Matthew Watto MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art and Infographic: Matthew Watto MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Timothy Yau MD

Sponsor: Rocket Money

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Sponsor: Freed

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The Curbsiders Internal Medicine Podcast

#430 CKD, Metabolic Acidosis, Baking Soda vs Fruits and Veggies. It’s NephMadness 2024!

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Focusing on Dietary Solutions for Metabolic Acidosis in CKD

Consider Individual Patient Factors in Treatment Recommendations

Reassessing the Role of Sodium Bicarbonate in Treating Metabolic Acidosis

Challenges and Pitfalls in Managing Metabolic Acidosis in CKD

The Evolving Landscape of Metabolic Acidosis and Dietary Interventions

Gaming, Music, Career Advice, and CKD Management Discussion

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AI-powered
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Discover
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The Curbsiders Internal Medicine Podcast

#430 CKD, Metabolic Acidosis, Baking Soda vs Fruits and Veggies. It’s NephMadness 2024!

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Focusing on Dietary Solutions for Metabolic Acidosis in CKD

Consider Individual Patient Factors in Treatment Recommendations

Reassessing the Role of Sodium Bicarbonate in Treating Metabolic Acidosis

Challenges and Pitfalls in Managing Metabolic Acidosis in CKD

The Evolving Landscape of Metabolic Acidosis and Dietary Interventions

Gaming, Music, Career Advice, and CKD Management Discussion

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