Common Consults
Standardized management protocols for frequent inpatient nephrology consults.
Post-Obstructive Diuresis
Management after relief of urinary obstruction
Hepatorenal Syndrome (HRS-AKI)
Diagnosis and treatment in cirrhosis
Rhabdomyolysis
GoalPrevent Heme-pigment AKI via aggressive volume expansion.
- Fluids: Aggressive IV crystalloids (Lactated Ringers preferred) targeting UOP > 200-300 mL/hr.
- Bicarb? Only if severe acidosis (pH < 7.1) or severe hyperkalemia. Routine alkalinization is controversial.
- Dialysis: Indicated for refractory HyperK, Acidosis, or Volume Overload. Does NOT remove myoglobin effectively.
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