Background: Our standard Hypoglycemia Protocol primarily utilizes juice to treat hypoglycemia. The system currently allows both the Hypoglycemia Protocol and a renal diet to be active simultaneously. This algorithm has no restrictions on administering orange juice to treat hypoglycemia for patients despite exclusion of orange juice for patients on a renal diet. Considering anecdotal instances [...]

Background: Kidney injury significantly reduces renal clearance, posing unique challenges for patients with type II diabetes, particularly those on insulin. This reduced clearance can lead to elevated insulin levels, increasing the risk of hypoglycemia and subsequent complications, which often extend the patient’s length of stay (LOS). Chronic kidney disease (CKD) itself is an independent risk [...]

Case Presentation: Hypermagnesemia is a rare, but potentially fatal clinical condition. We report a case of symptomatic hypermagnesemia in an 84-year-old female with stage 4 CKD who was taking daily magnesium oxide with intermittent milk of magnesia for chronic constipation. She presented with confusion, delayed verbal and motor response, and dyspnea and her presentation was [...]

Case Presentation: A 44-year-old African American male with a medical history of human immunodeficiency virus (HIV) and chronic kidney disease (CKD) presented to the hospital with nonspecific complaints, including flank pain. Initial laboratory tests and imaging studies confirmed a diagnosis of nephrolithiasis and acute kidney injury with concomitant hypercalcemia. The patient was hospitalized and treated [...]

Case Presentation: A 72 year old male with a history of end stage renal disease and chronic positive hepatitis B core antibody since 2020 presented with worsening abdominal pain while undergoing hemodialysis. He was not on any immunosuppressive medications at home. On admission, his vitals were normal. Physical exam revealed scleral icterus and right upper [...]