ACT: Now more than thespians

As a kid growing up in the San Francisco ACT brought to mind guys in tights running around and projecting their voices at the American Conservatory Theater. Now I’ve got to adjust my association with the acronym with…

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Free PD Calculator App

Here is a handy free PD calculator for your phone that I came across today. It includes an Access Care and Complications Manual that covers the management of PD catheters and infectious peritonitis, a PD Prescription Guide with PD Prescription…

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Sodium and seizures?

The development of acute hyponatraemia can have profound neurological consequences. After creation of an osmotic gradient between the intravascular compartment and the intracellular compartment, water must somehow gain access to the brain tissue. This appears to be mediated,…

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Don’t forget the vitamins

In the absence of glucose, the brain requires a water-soluble, fat-derived fuel for metabolism and ketoacids serve this function. Unsurprisingly, as a result of this, the main factor controlling the production of ketoacids is the relative lack of…

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Fractional Excretion

The fractional excretion of sodium (FeNa) is a test that is often used in the setting of acute renal failure to help distinguish between pre-renal and intra-renal causes that has been mentioned in previous blog posts. In general,…

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