C-KD Perry
This serum biomarker is less dependent on muscle mass than creatinine
What is Cystatin C?
These 3 labs are checked MONTHLY at chronic dialysis units.
What are renal fxn panel, CBC, Iron Panel w/Ferritin?
This potassium resin binder has the shortest "time to action"
What is Lokelma?
The HgbA1c should be < than this before initiation of SGLT-2 inhibitors in CKD
What is a Hgb A1c < 10?
This loop diuretic has uricosuric properties and has a lower risk for gout.
What is bumetanide (possibly also torsemide)?
Recommended minimum frequency of checking urine alb/creat in DM already on max dose ACE-I/ARB
What is annually
These 3 medications are routinely given to patients at chronic dialysis units.
What are IV Iron, ESA's (IV), Vitamin D
The 4 most common food items to avoid in hyperkalemia
What are bananas, oranges, potatoes, and tomatoes
This presenting symptom may be a sign of gabapentin toxicity, particularly in patients with CKD.
What is myoclonus, twictching, or lethargy?
The preferred site of phlebotomy and peripheral IV placement in patients with CKD and ESRD.
What is the hand? (vein saving technique)
The Dx of CKD is made in patients who have at least 1 of these THREE criteria for > 3months
What is eGFR < 60 ml/min/1.73m2, urinary markers of damage, anatomic abnormality
These 3 vaccines are routinely given at dialysis units for chronic patients.
What are pneumovax, flu, and COVID-19?
This antibiotic blocks ENac and can cause hyperkalemia.
What is Bactrim (trimethoprim)
This sulfonylurea in particular should be avoided in patients with stage IV CKD.
What is glyburide?
This DOAC has more data in CKD and ESRD than others.
What is eliquis?
CKD-EPI is considered more valid when the GFR is > this number
What is GFR > 60 ml/min/1.73m2
What is renal cell carcinoma?
The 3 actions of aldosterone that drive K+ secretion in the CCT.
What is upregulation of: 3Na-2KATPase in the basolateral membrane, apical ENaC, apical ROMK channel
This narcotic has toxic metabolites in patients with CKD and should be avoided.
What is morphine (and demerol)?
The modality of dialysis associated with the lowest quality of life, highest morbidity?
What is In-center hemodialysis?
What is nocturnal hypertension ("non-dipping")
Carpal Tunnel Syndrome in a chronic dialysis patient should raise suspicion for this dialysis-related condition.
What is beta-2-microglobulin amyloidosis?
This condition should be suspected in an asian male with thyroid disease who presents with paralysis after eating a large pasta meal.
This beta blocker is renally excreted and should be avoided in Stage IV and V CKD.
What is atenolol?
These are the 4 faculty in your current residency program leadership have twins.
Who are Drs. Cheng, Baumann, Kao, Vermette. (Dr. Fraser and Dr. Macgregor have twins, too!)