1 / 5

What’s in a name …

What’s in a name …. “Bangers” or. “Sausages”. Clinical Example – “Mr. Smith”.

quanda
Télécharger la présentation

What’s in a name …

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. What’s in a name … “Bangers” or “Sausages”

  2. Clinical Example – “Mr. Smith” • History: 76 yo male with h/o Diabetic Nephropathy, CKD (at baseline Cr 2.6 and GFR 29), CHF (EF 35%) presents with chest pain and admitted for NSTEMI, taken to Cath Lab for coronary angiography. Over next 3 days, Cr noted to increase to 5.1

  3. Documentation Impact POOR GOOD Acute Tubular Necrosis 2/2 CIN CKD stage 4 Chronic Systolic Heart Failure Expected Length of Stay = 5 Days • Contrast Induced Nephropathy • CKD • CHF filler filler filler fillerfi Expected Length of Stay = 2 Days

  4. Consider Documenting “likely ATN” when patients with AKI had: • IV contrast (CT scan, cardiac cath) • Medications (abx, antifungals, cytotoxins, etc.) • Rhabdomyolysis, myoglobinuria • Prolonged ischemia/hypotension/shock/sepsis

  5. Consider Documenting “likely ATN” when: • AKI lasting > 3 days s/p IV fluids • FENa > 2% (except CIN = variable FENa) • UA – “muddy brown” granular casts (pathognomonic)

More Related