Contrast-Induced Nephropathy (CIN) & Acute Kidney Injury (AKI)

Does IV contrast provided to hospitalized patients really cause contrast-induced nephropathy (CIN) and lead to acute kidney injury (AKI)? This is quite the controversial discussion at the moment (this was published on 02/24/23). Therefore, I have created this page to compile evidence on the topic. None of this is medical advice. Solely a review on …

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thiamine renal failure

Thiamine and Renal Failure in Septic Shock Patients

Every possible option to decreased morbidity, mortality, and costs are worth looking at in my book. The study that I am reviewing at this moment was published in 2017. I am ashamed that I had not run into it until today (10/19/19). It's challenging to stay up to date in everything. I digress. It is …

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Lithium Toxicity: Dialyze or Monitor these Patients?

Lithium toxicity is something we confront in the intensive care unit. (Hypothetical) Case scenario: Patient comes in, accidental overdose of lithium, HD stable, physical exam unremarkable, labs pristine, lithium level of 2.x. Poison control called. ED interventions performed flawlessly. Nephro consulted in the ED and recommends HD if level is above (insert arbitrary number here). …

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