Why does my grossly volume overloaded CKD patients AKI . . . - Reddit Diuresis, probably by reducing his renal venous congestion, will help improve his renal failure A few random additional thoughts: How to diurese, and when, is a common problem that clearly we often get wrong in medicine
Difference between polyuria and diuresis : r medicalschool - Reddit Polyuria is a symptom of pathology while diuresis is correction of pathology For example, you may hear the terms "self- or auto-diuresing" when discussing a patient dumping 6-10L urine in 24 hours as they have a resolving ATN-type AKI
Does anyone here actually check urine sodium to see if . . . - Reddit Agree with A_Singh and I use the same parameters I will check a Urine Na as an outpatient to assess diuretic compliance though I won't use or trend it inpatient as a marker for diuresis unless some well-powered studies come out giving us numbers to target which improve outcomes
Is diuresing through the chest tubes real? : r IntensiveCare - Reddit Non-pharmacological diuresis would be ultrafiltration via renal replacement therapy Large volume drainage from say a paracentesis or the chest drain output you mention can contribute to restoring euvolemia but it is not diuresis per se "Diuresis" is inaccurate short hand for volume loss in this case
Balancing overload with aki ckd : r medicine - Reddit These are the patients that gets less hypotensive with diuresis, and the patient that will have an improvement in serum creatinine with super aggressive diuresis (I'm talking 10mg H IV lasix drip) As an aside: I know these sound technical and jargony, but if you want to be a good doctor, gotta learn how to communicate like one
AKI and fluid overload : r medicine - Reddit Thus, hemodynamic changes in creatinine with diuresis most often don’t actually represent intrinsic, permanent damage to the kidney Indeed, in a post-hoc analysis of the DOSE trial, a rise in creatinine during admission for decongestion for acute decompensated heart failure was actually associated with improved outcomes (primary endpoint of
Swan Number Interpretation and Interventions : r IntensiveCare - Reddit Thanks for being very specific and more accurate with all the terminology Agree with all that you said I was merely trying to explain to OP the concepts at its most basic forms given that she had no complex knowledge of hemodynamics thus didn’t mention things intubation and intrathoracic pressure, formulas and what not