Hello all. As title says, I am fresh intern about to start on Nephro consults. I never did a nephro rotation in medical school. Additionally, I consider it one of my weakest subjects. If anybody could give me some pointers or resources I can check out to prepare, that would be great. Thank you guys for your time and help.
Posted Jun 24, 2020, 9:53 PM UTC
Here's your presentation:
2 liner HPI, reason for consult, BMP, Urine lytes/Osm/cr, I/Os, weight, current fluid/diuretic orders.
Congrats you're now at the level of a graduating pgy1.
Thanks a bunch!
When in doubt, the answer is "Maybe some Lasix would help?"
“How much lasix?”
“Yes”
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LOL
Make sure you avoid all nephrotoxic agents
i should print a quick reference list for me to have
Nephrologists are cool. They're just going to tell you stuff about electrolytes because they know that people with several years more experience than you still don't know anything about nephrology. I know some awkward nephrologists but no mean ones.
that's been my experience. Nice smart people. Some are human calculators
Water goes in, pee pee comes out. Pretty simple if you ask me.
If the pee is dark, drink more water.
Covid? Oligouric Atn? Plan: crrt, double ac heparin and citrate. Easy money
Sometimes you give fluids and sometimes you take it out
#fellowshiptrained
Water goes in pee comes out you can't explain that