Hyponatremia and hypernatremia are serious sodium imbalances affecting 1 in 5 CKD patients. These conditions cause cognitive decline, falls, and higher mortality. Proper management requires tailored fluid limits, medication adjustments, and multidisciplinary care to prevent life-threatening complications.
AKI on CKD is a dangerous combo that can lead to permanent kidney damage. Avoid contrast dye and nephrotoxic meds like NSAIDs, aminoglycosides, and vancomycin. Hydration, careful dosing, and patient education are key to prevention.