Prehydration not needed before contrast CT of kidneys

Prehydrating patients who have chronic kidney disease before they undergo a...Read more on AuntMinnie.comRelated Reading: Experts reaffirm safety of contrast use for kidney CT Could patient history help predict CT contrast reactions? Oral contrast not needed to spot kids' appendicitis on CT Contrast use doesn't change acute kidney injury rate CT contrast not tied to poor outcomes, even in at-risk patientsComments: 2/18/2020 6:19:39 PMChris Woodhouse You guys are driving me crazy!  Just when I get the clinic settled into the practice of pushing clear fluids before any contrast study, you tell me it doesn't matter!   I will tell you that on a hot Miami summer day, a patient that is well hydrated will have a urine contrast density of under 800HU whereas the hot and dry patient who was told NPO after midnight by the referring's office will have density in the renal pelvis of well over 1500HU.   It's gotta make a difference.   Why do we bother drawing labs before injecting?    We are progressively loosening the labs requirement before gado, though. 2/18/2020 6:23:32 PMfw There were 'studies' to support the pre-hydration, there were 'studies' to support acetylcysteine, there were 'studies' to support bicarb.   In the end it seems to be a crap-shoot. 2/18/2020 6:30:43 PMkyte If anything just hydrate them to get them better veins to access, so they're not calling me all day. 2/18/2020 7:53:...
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news

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Publication date: 1 June 2020Source: Journal of Membrane Science, Volume 604Author(s): O.E.M. ter Beek, D. Pavlenko, D. Stamatialis
Source: Journal of Membrane Science - Category: Materials Science Source Type: research
In this study, we determined the relationships between serum sclerostin and all-cause mortality, the prevalence of cardiovascular events (CVEs), and coronary artery calcifications (CACs) in dialysis patients.Methods: A total of 165 dialysis patients (84 hemodialysis [HD] and 81 peritoneal dialysis [PD]) were enrolled in this study. We performed multivariable linear regression analysis to test the relationships between serum sclerostin levels and demographics and clinical parameters. We also performed Cox proportional hazard regression analysis to determine independent predictors of overall survival and CVEs.Results: The me...
Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research
Authors: Kawada T PMID: 32216510 [PubMed - as supplied by publisher]
Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research
In this study, we assessed the relationship between the circadian rhythm of urinary sodium excretion and hypertension. Urinary samples were collected during both the day (07:00 to 22:00) and night (22:00 to 07:00) to estimate night/day urinary sodium excretion ratios. Blood pressure (BP) and clinical data were also measured. A total of 1,099 Chinese CKD patients were recruited, 308 patients were excluded, and 791 patients were final enrolled in this study. Among them, 291 patients were normotensive and 500 were hypertensive CKD patients. A 1:1 propensity score matching (PSM) analysis was performed with age and estimated gl...
Source: International Journal of Medical Sciences - Category: Biomedical Science Tags: Int J Med Sci Source Type: research
For malnourished patients with end stage renal disease (ESRD) on hemodialysis (HD), refeeding is complex; true weight (dry weight) gain must be accounted for as it accrues in order to safely dialyze. This case describes the challenge of following true weight to appropriately adjust treatment for a patient with ESRD on HD requiring inpatient refeeding.
Source: Journal of Pediatric and Adolescent Gynecology - Category: OBGYN Authors: Source Type: research
Authors: Pasyar N, Rambod M, Jowkar M Abstract Introduction: Providing social support for patients under hemodialysis treatment can reduce their psychological, social, and physical problems. The present study aimed at determining the effect of peer support on hopefulness in patients under hemodialysis. Methods: This clinical trial with a pre/posttest design was conducted on 128 patients who had referred to the hemodialysis centers of Shiraz University of Medical Sciences in 2019. The patients were randomly divided into an intervention and a control group. The patients in the intervention group were supported by...
Source: International Journal of Nephrology and Renovascular Disease - Category: Urology & Nephrology Tags: Int J Nephrol Renovasc Dis Source Type: research
This study was conducted to determine the frequency of S. aureus nasal carriage in hemodialysis patients (HD) and health-care workers (HCW) at the main dialysis center of Bam city, located in southeast of Iran. In this cross-sectional study, a total of 52 nasal swabs were obtained from health-care workers and hemodialysis patients to detect methicillin-sensitive S. aureus (MSSA) isolates. The resistance to different antibacterial agents was determined by disk diffusion method. Also, Panton-Valentine Leukocidin (PVL) - encoding gene as well as Staphylococcal protein A (spa) type were determined. The nasal carriage rate of S...
Source: Pathogens and Global Health - Category: International Medicine & Public Health Tags: Pathog Glob Health Source Type: research
I did my fellowship with great interest in Nephrology - Acid base/electrolyte/Acute dialysis stuff. Joined a private practice - get around 170 K. my day starts at 6 and ends at 5. run around 4 hospitals and 3 dialysis units. Real life of nephrology - Oversupply - tremendous oversupply - so employers dont really have any need to offer a fair deal universities need bodies to do the scutwork - there is no need for these bodies outside an academic setting many nephrologists end up as... Nephrology is Dead - stay away
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Other Subspecialties Source Type: forums
Abstract The heterogeneity of macrophages promotes renal fibrosis and plays an important role in the repair of kidney damage. The "microinflammation state" is closely related to accelerated mortality in patients with chronic kidney disease (CKD). The aim of this study was to investigate the relationship between microinflammation and macrophage polarization in CKD. The levels of high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) in peripheral blood of 30 non-dialysis CKD-5 patients (CKD group) and 20 healthy subjects (Con group) were measure...
Source: International Journal of Clinical and Experimental Pathology - Category: Pathology Authors: Tags: Int J Clin Exp Pathol Source Type: research
Authors: Viswanathan V, Jamthikar AD, Gupta D, Puvvula A, Khanna NN, Saba L, Viskovic K, Mavrogeni S, Turk M, Laird JR, Pareek G, Miner M, Ajuluchukwu JNA, Sfikakis PP, Protogerou A, Kitas GD, Nicolaides A, Sharma A, Suri JS Abstract BACKGROUND: Recently, a 10-year image-based integrated calculator (called AtheroEdge Composite Risk Score-AECRS1.0) was developed which combines conventional cardiovascular risk factors (CCVRF) with image phenotypes derived from carotid ultrasound (CUS). Such calculators did not include Chronic Kidney Disease (CKD)-based biomarker called estimated glomerular filtration rate (eGFR). The...
Source: International Angiology - Category: Cardiology Tags: Int Angiol Source Type: research
More News: Acetylcysteine | Appendicitis | Children | Chronic Kidney Disease | Dialysis | Radiology | Study | Ureter and Renal Pelvis Cancer | Urology & Nephrology