Chronic kidney disease
Clinical teaching and practical ideas for your next study session.
ACE Inhibitor Monitoring After Initiation: Expected Creatinine Rise or AKI?
A creatinine rise after starting an ACE inhibitor may reflect the intended reduction in intraglomerular pressure—or an emerging kidney injury. Learn how to monitor blood pressure, creatinine, eGFR, and potassium, then distinguish an expected hemodynamic change from volume depletion, drug interactions, hyperkalemia, or AKI that requires action.
When the Medication Bag Is the Chart: Polypharmacy, CKD, and Health-Literacy Challenges in Family Medicine
An older adult’s high blood pressure may be a medication-safety problem, not a cue to intensify therapy. This case teaches reconciliation, individualized targets, CKD-aware prescribing, privacy, and teach-back.