If you have ever had a patient that has had a substantially elevated potassium level, you have likely been very nervous about their medication list. I really start to get concerned when I see levels above 6 mEq/L. There are numerous drugs that affect potassium that...
Prerenal acute kidney injury is absolutely something that happens in real life practice. One of the reasons that this is something that is seen on a somewhat regular basis is that the drugs that can cause prerenal acute kidney injury are very common. Diuretics,...
A 47 year old male is concerned that his drugs are causing medication induced sexual dysfunction. His primary provider has asked you to review his medications. What would I look at here? Amlodipine 5 mg daily Metoprolol 25 mg twice daily Fluoxetine 80 mg daily...
One of the most important complications to remember in kidney disease is electrolyte abnormalities. Strategic monitoring of electrolytes in kidney disease is essential. When I think about chronic kidney disease, the accumulation of electrolytes becomes something that...
Here I present a scenario of a likely multifactorial situation of drug induced hyponatremia. A 69 year old male has a past medication history of epilepsy, depression, diabetes, and hypertension. He has had a little bit of swelling around his ankles lately as well as...
There is always a huge challenge in navigating CHF and CKD in our patients. Use of diuretics and ACE inhibitors can be life altering in a very good way for patients who have fluid overload. The difficulty lies in keeping an adequate perfusion to the kidney. A 69 year...
