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How do you approach consults regarding clearance of patients with chronic kidney disease for surgery?
Answer from: at Community Practice
I never provide "clearance" for surgeries. I comment whether kidney disease is stable and whether there are any contraindications to surgery, medications, etc. based on the kidney disease.
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Answer from: at Community Practice
I make sure that kidney function is stable and the medications are appropriate for the surgery/NPO status. Sometimes, I will adjust dosages or hold meds until after surgery. If it is CTS/cardiac cath, then I try to assess the risk for AKI and AKI-requiring dialysis using various scoring systems. It ...
Answer from: at Community Practice
It is no different than patient with no CKD.
Answer from: at Academic Institution
We never asked to provide clearance for surgery, we can provide consultation for someone who has some kidney dysfunction while hospitalized and is going to get cardiac Cath/imaging which needs IV contrasts like iodine-based for CT scans and Gadolinium for MRI.
I recommend fluids for contrast-induce...