Academic Half Day: August 9th
Renal Basics
Readings:
 10 steps for the interpretation of acid-base article
 ?ACP medicine: approach to patients with renal disease
Donna Holland -Common and urgent acid base disorders to not miss- Describe the
common causes for non-anion gap metabolic acidosis
 Diagnose the cause of a mixed metabolic acidosis and respiratory alkalosis
Work up and management of common and urgent electrolyte disorders- hyponatremia
(reading) hyperkalemia (lecture)
 Treat hyperkalemia in a patient with CKD
 Treat hyperkalemia in a patient without known renal dysfunction
(including when to recheck and when to repeat therapy)
 Describe less frequently recognized medications associated with
hyperkalemia
 Discuss how to anticipate and monitor for potential hyperkalemia in
patients with a history of hyperkalemia or AKI being started on an ACE I
or aldosterone antagonist.
11:45-12:30 Penny Baker- VA Acute renal failure- 30 minutes basics
● Define the clinical significance of pre-renal failure, intrinsic renal disease, and
post-renal failure.
● Describe the symptoms and signs of pre-renal failure, intrinsic renal failure, and
post-renal failure.
● Distinguish the causes of pre-renal failure, intrinsic renal failure, and post-renal
failure.
● Describe the indicated tests required to evaluate ARF.
● Calculate estimated creatinine clearance for adjustment of medication dosage
when indicated.
● Identify patients at risk for ARF and institute preventive measures, which may
include intravenous fluid and acetylcysteine in patients receiving radiocontrast
media.
● Describe indications for acute hemodialysis.
● Identify clinical, laboratory and imaging studies that indicate severity of disease.
● Explain goals for hospital discharge, including specific measures of clinical
stability for safe care transition.