Discover and read the best of Twitter Threads about #hemodialysis
Most recents (8)
💥#McMaster #CardiologyGrandRounds by @johneikelboom
🩸 People with #AF are inadequately anticoagulated, largely related to MD hesitancy
🩸#Bleeding risk prediction tools have modest performance
🩸Bleeding risk iproportional to stroke risk, net benefit favours #antocoagulation
🩸 People with #AF are inadequately anticoagulated, largely related to MD hesitancy
🩸#Bleeding risk prediction tools have modest performance
🩸Bleeding risk iproportional to stroke risk, net benefit favours #antocoagulation
2/
🩸Few reasons to withhold #OAC, even in frail, older adults
🩸Across spectrum of #bleeding risk in AF, #stroke risk is higher
🩸#DOACs preferred over warfarin in #nonvalvular #AF
🩸Few reasons to withhold #OAC, even in frail, older adults
🩸Across spectrum of #bleeding risk in AF, #stroke risk is higher
🩸#DOACs preferred over warfarin in #nonvalvular #AF
3/
🩸Most #DOACs safe in #CKD, some require dose adjustment
🩸Dabigatran contraindicated in eGFR<30
🩸Limited RCT evidence in #Hemodialysis
#AtrialFibrillation #Anticoagulation
🩸Most #DOACs safe in #CKD, some require dose adjustment
🩸Dabigatran contraindicated in eGFR<30
🩸Limited RCT evidence in #Hemodialysis
#AtrialFibrillation #Anticoagulation
1) Welcome to our #accredited #tweetorial on optimal mgt of #hyperkalemia in the patient with #CKD. Earn 0.5h #CME/CE credit by following this thread. I am Sourabh Sharma MD DNB FASN 🇮🇳 @iamnephrologist & u have found the ONLY source for CE credit delivered entirely on Twitter!
2) This program is supported by educational grants from AstraZeneca and Bayer & is intended for #healthcare providers. See faculty disclosures ckd-ce.com/disclosures/. Educational credit for #physicians #physicianassociate #nurses #nursepractitioners #pharmacists 🇺🇸🇨🇦🇪🇺🇬🇧
3) Potassium was first isolated by Humphry Davy in 1807 by electrolysis (Coined word from “Potash” [Dutch]). The periodic table symbol K was derived from kali (alkali) [Arabic].
en.wikipedia.org/wiki/Potassium
#NephroNotes #NephPearls #FOAMed #MedEd @MedTweetorials #CardioTwitter
en.wikipedia.org/wiki/Potassium
#NephroNotes #NephPearls #FOAMed #MedEd @MedTweetorials #CardioTwitter
1) Welcome to our #accredited #tweetorial on optimal mgt of #hyperkalemia in the patient with #CKD. Earn 0.5h #CME/CE credit by following this thread. I am Sourabh Sharma MD DNB FASN 🇮🇳 @iamnephrologist & u have found the ONLY source for CE credit delivered entirely on Twitter!
2) This program is supported by educational grants from AstraZeneca, Bayer, & Chiesi & is intended for #healthcare providers. See faculty disclosures cardiometabolic-ce.com/disclosures/. Educational credit for #physicians #physicianassociate #nurses #nursepractitioners #pharmacists 🇺🇸🇨🇦🇪🇺🇬🇧
3) Potassium first isolated by Humphry Davy in 1807 by electrolysis (Coined word from “Potash” [Dutch]). The periodic table symbol K was derived from kali (alkali) [Arabic].
en.wikipedia.org/wiki/Potassium
#NephroNotes #NephPearls #FOAMed #MedEd @MedTweetorials #CardioTwitter
en.wikipedia.org/wiki/Potassium
#NephroNotes #NephPearls #FOAMed #MedEd @MedTweetorials #CardioTwitter
Hey Twitter! It's been a while. I used to write here all the time hanging out with #scifichat, #comicschat, #litchat, talking about #science, #tech, #autism and a dozen other topics which broadened my horizons and let me share my diverse interests in almost everything.
Then my life got incredibly busy. My son went to high school and coupled with his #autism, our lives became super-complex. I lost my job and my car gave up the ghost after four years of @Uber. Then the unthinkable, my wife experienced #renalfailure.
4 years ago, she underwent an operation for #peritoneal #dialysis. This form of at-home dialysis would let her take care of her renal needs at home avoiding the need for external #hemodialysis centers. In hindsight, this may have saved her life.
texastribune.org/2021/03/30/pan…
texastribune.org/2021/03/30/pan…
Continuing our #KidneyWk virtual e-poster tour! Check out this thread for some interesting research on #exercise, #PhysicalActivity, & #PhysicalFunction in CKD and ESKD!
A comparison of #frailty measures among individuals referred for #KidneyTransplant in Canada (PO1704). #KidneyWk @FilteredDoc @tennankore @CNTN_RCEN
A pilot RCT to embed technology-enabled group-based #Exercise programming in the clinic: The Exercise Is Medicine in Chronic Kidney Disease Trial (PO2057). #KidneyWk @felipelobelo @ahadbootwala @Shuchi_Anand @JasonCobbMD
One upside of #KidneyWk being virtual, is the ability to view posters on-demand through the ASN website (bit.ly/3maGrDJ)! Check out this thread highlighting a few of the posters on #exercise, #PhysicalActivity, & #PhysicalFunction that were presented today!
A pilot & feasibility RCT targeting #SedentaryBehavior in CKD: Results from the Sit Less, Interact and Move More (SLIMM) Study (PO0586). #KidneyWk @UofUNephrology
The association of self-reported & objective measures of #PhysicalActivity with leg muscle mitochondrial oxidative capacity in CKD (PO2062). #KidneyWk
@broshan @JLGamboa_Velez
@broshan @JLGamboa_Velez
#Remdesivir begins distribution in the #USA today via #EUA.
I thought would write down some practical #tips based on my #qualitative anecdotal experience after personally treating close to 200 patients with #COVID19.
For quantitative results, wait for the papers¬—thread
I thought would write down some practical #tips based on my #qualitative anecdotal experience after personally treating close to 200 patients with #COVID19.
For quantitative results, wait for the papers¬—thread
“this juice works, doc!” When you hear similar expressions 1-2 days after starting #remdesivir multiple times, you start to wonder. Don't recall a similar proportion of patients smile after feeling so sick 1-2 days earlier with #COVID19. x/n? Wait for the papers.
Like #treatment for any severe infectious disease (meningitis, Gram-negative bacteremia, influenza pneumonia, etc), earlier is always better. #COVID19 is no different. #Remdesivir stops #SARS-CoV2 replication, but won’t heal the lung injury.
1/
As kidney replacement therapies (KRT) have become a strained and limited resource during the #COVID19 pandemic, here is a quick #tweetorial on how these treatments work:
What is the main mechanism by which clearance is achieved during intermittent #hemodialysis?
As kidney replacement therapies (KRT) have become a strained and limited resource during the #COVID19 pandemic, here is a quick #tweetorial on how these treatments work:
What is the main mechanism by which clearance is achieved during intermittent #hemodialysis?
2/
KRT has 2 powers:
1⃣Clearance (removal of solutes, like potassium 🍌)
2⃣Volume removal 💧
...and it comes in 2 flavors:
1⃣Intermittent
2⃣Continuous
KRT has 2 powers:
1⃣Clearance (removal of solutes, like potassium 🍌)
2⃣Volume removal 💧
...and it comes in 2 flavors:
1⃣Intermittent
2⃣Continuous
3/ How does the potassium go from 7.2 meq/L to 4 after an intermittent #hemodialysis (iHD) session?
Chemistry 101: DIFFUSION!
Solutes are cleared via diffusion as they move ⬇️ their concentration gradient across a SEMIPERMEABLE membrane
DOI: 10.1056/NEJMc1301071
Chemistry 101: DIFFUSION!
Solutes are cleared via diffusion as they move ⬇️ their concentration gradient across a SEMIPERMEABLE membrane
DOI: 10.1056/NEJMc1301071
