#326 Cardiorenal Syndrome, Biomarkers, Diuretic Resistance (NephMadness 2022)

Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more. This episode is part of our first ever NephMadness Pod Crawl, so check out the other podcasts, and fill out your NephMadness 2022 brackets!

Credits

• Producer, Writer, Show Notes, Infographics: Malini Gandhi
• Cover Art:  Beth Garbitelli
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD, FACP
• Executive Producer: Beth Garbitelli
• Showrunner: Matthew Watto MD, FACP
• Editor: Clair Morgan of nodderly.com
• Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD

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Show Segments

• Intro, disclaimer, guest bios
• Guest one-liners, Introduction to Nephmadness 2022
• Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine
• Definition and pathophysiology of cardiorenal syndrome
• Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome
• Case #2 from Kashlak: the creatinine bump with diuresis
• Approach to the creatinine bump with diuresis
• Tips for the volume exam
• Interpreting cardiac biomarkers in patients with chronic kidney disease
• Case #3 from Kashlak: diuretic resistance
• Maximizing loop diuretic efficacy
• Sequential nephron blockade
• Use of hypertonic saline
• Outro

NephMadness 2022 Pod Crawl

• Tues 3/15: The Drs. Washington - Inequities in Nephrology. Listen on Apple or Spotify. Website: https://www.drlatonyawashington.com/drswashingtonpodcast 
• Wed 3/16: The Cribsiders - Neonatal AKI. Listen on Apple or Spotify. Website: http://thecurbsiders.com/thecribsiders
• Thurs 3/17: Up My Nursing Game - Hemodialysis. Listen on Apple or Spotify. Website: www.upmynursinggame.com
• Fri 3/18: BS Medicine - #505: Albuminuria, basketball and the Great White North. Listen on Apple or Spotify. Website: https://therapeuticseducation.org/
• Sat 3/19: Freely Filtered - Animal House Region. Listen on Apple or Spotify. Website: http://www.nephjc.com/freelyfiltered 
• Twitter: @thecurbsiders @TheCribsiders @NephJC_Podcast @drs_washington @upmynursinggame @medmyths

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The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.