Emergency Medicine Cases

Ep 151 AKI Part 2 – ED Management

Jan 12, 2021

41:05

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Highlights

AI Chapters

Episode notes

Is Early Dialysis Beneficial?

01:32

The Right Thing to Do With a Kidney Injury?

02:17

Is Ringers Lactate the Fluid of Choice?

03:17

Introduction

5min

Acute CHF Patients - How Do I Help Them?

4min

AKI Management - The Three Fs

2min

Is Ringers Lactate the Fluid of Choice?

3min

Dialysis and Bicarb in Critically Ill Patients

3min

Is Early Dialysis Beneficial?

2min

Can We Use Vancomycin and Piptase in Patients With AKI?

6min

Septic Shock and AKI Patients

5min

ACE Inhibitors and NSAIDs in the Emergency Department?

3min

10.

NSAID Complications Are Dose Dependent

5min

11.

The Right Thing to Do With a Kidney Injury?

2min

In this Part 2 of our AKI series we discuss the timing, volume and IV crystalloid of choice in AKI patients as well as dialysis indications and timing in light of the recent STARRT-AKI trial. We answer the questions: are piperacillin and vancomycin in combination contraindicated in patients with severe AKI? Is vasopressin preferred over norepinephrine in patients with AKI and septic shock? Is there a role for IV sodium bicarbonate in AKI? When should ACEi/ARBs be held in AKI patients? When, if ever, should NSAIDs be given in AKI patients, and if so, how should the dose be modified? and many more....