Excellent work

Excellent book

thank u bd physician and prof robed amin sir,, this is gold

Those who are interested to update themselves about Dengie this is an excellent opportunity for them.Hats off to Prof.Robed Amin and thanks a lot to Dr.Ehasan Khan who is doing a tremendous job for doctor community of Bangladesh.

Exemplary piece of work by the knowledgeable legend, as always

Assakamu Alaykum Sir,
AKI in hemodynamically unstable (either volume depleted or reduced vascular tone) patient is pre renal AKI ( ATN if the course is prolong). Furosemide only could be tried if the mean BP > 65 with or without pressors support. If Criteria of AKI (UOP criteria and or creatinine criteria) fulfilled , patient is significantly volume overloaded (refractory) or refractory acidosis (pH 5) or refractory hyperkalemia (k > 6.5 and or ECG change) persistent and not responsive to furosemide stress test ( 1 mg/kg for diuretic nadir or 1.5 mg/kg for patients those are already on furosemide as home medication) RRT should be initiated (IHD for hemodynamically stable or CRRT/SLED for unstable patient).

Kind regards

Dr. Muhammad Abdur Razzak
Clinical Fellow (Nephrology) , University of Toronto, Canada.