4 Cs of capacity
Context
Choices
Consequences
Consistency
Definition of chornic kidney disease
3 or more months
egfr <60
or persistent proteinuria
or abnormal urine seident
or abnormal imaging
Factors that affect egfr
extreme weights
muscle mass
low or high protein diet
medications that affect cr excretion
illness
pregnancy
paralysis
amputation
Sick day medications for Aki
Sulfonylureas, ACEI, Diuretics, Metformin, ARB, NSAIDs, SGLT2i
What to limit protein to in kidney failure
0.8g/kg/day
Most common spot for epistaxis
Kiesselbach’s plexus / Little’s area