NephroMemes
@MemesNephro
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Kidneys. Memes. RTs != endorsements, unless they are endorsements.
Loop of Henle
Joined April 2021
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“CRRT overnight. Renal function appears better with creatinine lower this morning.”
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Good morning to everyone except the people that withheld the contrast.
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Good morning to everyone except for the people writing baclofen for dialysis patients.
Seriously, stop it.
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3 of the hardest things to say in nephrology:
1. Cardiology is right
2. I’m tired of hyponatremia
3. Nephrophthisis
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Nephrology consulted for volume overload, unresponsive to loop diuretic.
The requesting team, also giving a liter of scheduled albumin per day to “help with diuresis”:
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Excited to leave the timewarp of the 90s-2000s contrast avoidance and enter the modern age.
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ICU patient over 70, septic, AKI, on baclofen until yesterday. Encephalopathic.
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Saying “dehydration” to a nephrologist when you’re talking about effective circulating volume 🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩
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Good morning to everyone except the people indiscriminately bolusing albumin to non-liver patients.
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Me when someone sees hyponatremia and doesn’t automatically write “SIADH” as leading the differential with no other work up.
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That 4PM hyponatremia consult with labs from the day before…
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Big Bumex push + metolazone + acetazolamide + spironolactone =
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When you ask someone why they are giving Lasix and IVF at the same time:
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@DGlaucomflecken
And radiology is still refusing to give dialysis patients iodinated contrast unless we “schedule dialysis” afterward.
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When everyone else says “AKI improving, creatinine is getting better on CRRT”
Me = Coach K
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Chart: Hyponatremia likely caused by Lasix infusion.
Also chart: UOP 1L last 24 hours
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Medicine team refreshing powerchart to see the new K result
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2500 followers. Thank you guys for the follows. We’ll continue to pump out the memes and hate on indiscriminate albumin infusions.
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Good morning to everyone except for people that pronounce renin incorrectly.
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A “low sodium/heart healthy” hospital diet fighting against maintenance crystalloid for days on end…
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Getting that AKI call when the Cr is 2.5…even though it’s 5x the normal baseline
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“Nerdiest” specialty? Tune into our podcast to find out what
@drcsalerno
(and I) think the answer is. 😂 See what I did there?
@bsotstethoscope
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An added bonus when the urgent care throws some Rx strength ibuprofen on top.
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Nephrotic range proteinuria with massive edema? We’ve got just the thing…
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To those working/on call this weekend, we thank you for handling it.
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Surgical intern on rounds: UOP still marginal and BP is soft.
Surgical resident: How many L of IVF have you given?
Intern: 10L over the last 24h. Should we call Nephro?
Resident: No. Let’s give 6 more liters.
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Rounding team in the background when I react to the suggestion of CRRT for “uremia”
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😘
Good morning and reminder that we do not dialyze for hypercreatininemia nor does a low creatinine on CRRT indicate renal recovery 🫠
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Self-endoscopy done effortlessly by Professor Majidah Bukhari (video playback ⏩ x2)
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“Nephromemes, what was it like when you were asked an actual question on an inpatient consult? Not just “CKD” or “AKI” with just a BMP to work off of?
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It do be like that sometimes,
@brian_rifkin
Funny memes but have to be sure we cover every potential clinical possibility because that’s what matters to a meme account.
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One instant way to improve EMRs would be to allow gifs.
Imagine getting a consult for “recommendations” on a resolving AKI, decongesting well, electrolytes are fine:
Me in the chart:
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@thisis_drgsp
If you’re into barely lowering BP when there are better options available, then HCTZ is truly wonderful.
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