acute kidney injury

Today we welcome special guest and fellow EBM lover Dr. Mita Hoppenfeld to talk about a new randomized controlled trial evaluating the best duration of antibiotics for febrile UTI in men. Is 7 days as good as 14 days? We also review the latest guidelines for lower GI bleeding and a new retrospective study on renal outcomes in patients with AKI who receive IV contrast.

7 vs 14 days of antibiotics for Febrile UTI in Men
Lower GI Bleeding Guidelines
IV Contrast in patients with AKI





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Steven and Jeff speak with Awan Puryadi, one of the lawyers in involved in a class action suit on behalf of 25 families of victims who had drank cough syrup laced with industrial grade solvents that are lethal for humans.

The families are seeking billions in compensation from pharmaceutical companies, distributors and the government for allowing the mass poisoning. The Pak Awan says the families want the government to devote resources toward long term care for those suffering debilitating injuries including organ failure and paralysis, which are permanent and an apology.

Kevin is off this week, the guys will be back next week with a full show. For now, here’s Pak Awan.

Get our special episode on the 4th Presidential Debate on:
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Dr Anis Ta’eed is a nephrologist and general physician (FRACP) working in Fiji since 2020. Dr Ta’eed works as the head of Nephrology at CWM Hospital in Suva and serves as director of the Fiji National Kidney Centre. Anis is also a board-certified lifestyle medicine physician (IBLM) and is passionate about the benefits of plant-based diets for kidney health (and health in general!).

In this episode, Anis brings his wealth of knowledge to provide us with a Kidney Health masterclass.

In this episode we cover:
• Anis’s background in medicine, what sparked his interest in nutrition, and the decision to move to Fiji for work
• Kidney function 101 – How they work and the importance of keeping them healthy
• Acute Kidney Injury, Chronic Kidney Disease (CKD), and the current burden on the population
• The relationship between hypertension, diabetes, and kidney disease
• Symptoms and causes of CKD and the importance of diet for prevention and management
• Total protein intake, animal protein, plant protein and kidney disease risk
• Dietary Potassium and phosphate and what you need to know about these nutrients if you have CKD
• Burden of kidney disease in Fiji and the increased risk in certain population groups
• The groundswell of support behind the plant-based movement in Fiji
• The upcoming Doctors For Nutrition conference, where Anis will be presenting

To view all the links to the websites and documents, visit the show notes on our website. Don't forget to subscribe to this podcast, leave us a review and share this episode with your friends and family.

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This episode covers renal support in the intensive care unit.

Written notes can be found at https://zerotofinals.com/surgery/anaesthetics/renalsupport/ or in the anaesthetics and ICU section of the Zero to Finals surgery book.

The audio in the episode was expertly edited by Harry Watchman.

Does loading vancomycin lead to achieving target levels within the first 24 hours? Does it increase the risk of nephrotoxicity?
 
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References:
All references for Episode 60 are found on my Read by QxMD collection

Disclaimer: 
The information contained within the  ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution,  seek medical advice from a licensed physician,  and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of,  any medical institutions, educational facilities, or other healthcare programs.

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Disclaimer:

The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.

In this episode, we talk about all things kidney health with Fuchsia Goldsmith, a dietitian based in Auckland. Fuchsia is the founder of Feed Nutrition and serves as Doctors For Nutrition’s lead dietitian for New Zealand’s North Island.

Also working as a renal dietitian, Fuchsia is an expert on diet and kidney health. Kidney disease is a leading cause of premature death in developed countries and an estimated 1 in 10 Australian and New Zealand adults have biomedical signs of Chronic Kidney Disease (CKD), so this is an important episode for everyone!

In this episode we discuss:
• Fuchsia’s upbringing and motivations for adopting a plant-based diet
• Her research in the growing area of epigenetics - and the marketing hype vs real-world application in this space currently
• The services offered through Feed Nutrition
• Contributing factors to CKD and importance of prevention and proper monitoring
• Key nutrition tips for kidney health, including the vital difference between plant and animal proteins
• The changing advice regarding potassium and phosphate for those with established CKD (it’s good news for plant-eaters!)
• Acute kidney injuries and endurance sports
• Fuchsia’s involvement in the upcoming public lecture series with Evidence Based Eating
• Fuchsia's Pomegranate Summer Salad recipe submission to the Doctors for Nutrition Recipe Collection.

Be sure to tag @TheLentilIntervention and help us reach more people by subscribing, reviewing, and sharing this episode with your friends and family.

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Today we are joined by heavy hitter Dr. Brian Locke to talk about the new paper on 3 vs 8 days of antibiotics for pneumonia, a clever new paper looking at whether there is any association between IV contrast and kidney function, and a new retrospective study on DOAC use for valvular atrial fibrillation.  Check it out!


Three Days of Antibiotics for Pneumonia
IV Contrast and Kidney Function
DOACs for Valvular Atrial Fibrillation





Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)