NephroMemes

ICU Rounds: I don’t want to brag about myself but 2 days ago I managed *without giving albumin* a septic patient who was on norepinephrine 0.32 mcg/kg/min & vasopressin 0.04 u/min & had albumin of 1.5 g/dl. Today he is off pressors. Who could imagine? #foamed #foamcc #meded

@brian_rifkin Yes whenever eyebrows arch at 80mg being a “big dose” I always bring up the 500mg. Actually saw this box in real life last year!Had a patient go abroad for a few weeks and came back with that.

@MemesNephro I have told many an intern about 1 gram lasix dosing. It is harder to convince the nurse and pharmacist that it is a reasonable dose.

Intern: The nephrology consult says to try a higher dose of lasix. Attending: OK, does it say a specific dose or schedule? Intern: 1 gram/24 hours Attending: 🤯🤯🤯 What ⁉️💦💦💦

@SPuro88 Bad number go up. Please make go down.

I once saw an orthopedist consult nephrology for “worsening creatinine” when the number went down.

@PulmCrit @hswapnil @Dan_Batlle

@hswapnil @Dan_Batlle 💯 agree. Most of my favorite people on social media wouldn’t even be allowed on Roon! Between twitter and bluesky we allready have too many social media sites. We need fewer social media sites, not more.

It is nice to have a platform physician-to-physician uncontaminated by other distractions (soccer being a possible exception!)

@PulmCrit Bonus points for dosing it behind the pressors. The nephrons just love that.

“hmmmm…. this patient is super sick in multiorgan failure…. gotta call the ICU team to admit them….. but first, they’re in some pain so I’ll drop a big dose of ketorolac on them”

Throw away the key

Every single day

@CharlesLCarter3 “Nephrology is going to do dialysis to help jump start your kidneys”

@MemesNephro Kidneys love HD! Everyone knows that. They feel all revved up and stuff and work harder, like.

Photo of me when I read “creatinine and kidney function better after dialysis yesterday”

Looking for that plateau in an AKI

Me when nephrology figures out the volume overload is not HF but nephrotic syndrome.

My look when I’m asked for “renal clearance” for a surgery:

Me when I see AKI recovery and no more HD needs…

Nephrology’s face when everyone is losing it over the hyponatremia.

Live look at giving repeated albumin boluses in a hypotensive ICU patient and not seeing any sustained effect:

Overheard this week: CRRT is “chewing up platelets”

Tell him people are still trying to treat hyponatremia with salt tabs.

Cardiology: Need G.I. clearance before we can potentially proceed with LHC. G.I.: Need cardiology clearance before we can potentially pursue an EGD. Increíble.