Jade Teakell, MD
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jmteakell.bsky.social
Jade Teakell, MD
@jmteakell.bsky.social
PhD/MD, Nephrologist, Associate Professor & Fellowship APD @UTKidney || #PeritonealDialysis #WomenInNephrology #NephJC #KidneyEmoji #NSMC #NephSky ||
she/her

Pokémon GO! Trainer Code 071789189132
Keep Calm & Carry On
Inhibiting RAS 👑

#Kidneywk #Nephjc

👉 www.nephjc.com/news/stopacei
👉 www.nephjc.com/news/aceing-...
November 8, 2025 at 7:29 PM
Stopping RASi should be the last resort.
#Kidneywk
November 8, 2025 at 7:25 PM
Our new best friends help to maintain our old best friends.

RASi 🤝 SGLT2i 🤝 GLP1ra
#Kidneywk #Flozinate
November 8, 2025 at 7:22 PM
Fruits & vegetables 🍊🥑🥦are ⭐️NOT⭐️ the problem.

❌Myth: restricting dietary K is useful to prevent hyperkalemia

❌Myth: Avoid fruits/veg - the main source of dietary K+

#Kidneywk
November 8, 2025 at 6:25 PM
Dietary potassium can be good for you.
AND there is little to no correlation btwn dietary K intake & serum K level (even in pts w/ CKD).
#Kidneywk
November 8, 2025 at 6:21 PM
A call to action 🚨📢

Let’s keep patients on health-improving & life-saving therapy
#Kidneywk
November 8, 2025 at 6:15 PM
HyperK-related RASi discontinuation or down-titration was a/w higher risk of cardiorenal events vs maintained or up-titrated RASi.

And when RASi gets held, we’re not good at restarting them.
#Kidneywk
November 8, 2025 at 6:10 PM
Our concern is safety, hyperK can be dangerous. But is stopping RAS really safe… not really.
#Kidneywk
November 8, 2025 at 6:04 PM
Hyperkalemia 😣
#kidneywk
November 8, 2025 at 6:01 PM
I’m asking this to trainees in the CKD clinic every single time.
Wait, why was this patient’s ACEi/ARB stopped?!? 🧐
#Kidneywk
November 8, 2025 at 5:58 PM
What happens when we stop ACEi/ARBs?? Nothing good…

#Kidneywk
November 8, 2025 at 5:55 PM
RAS blockade is protective

Decrease CV events
Decrease CKD progression
Decrease HF hospitalization
Etc etc
#Kidneywk

And the effect is maintained even with low eGFR!
November 8, 2025 at 5:51 PM
We’ve all taken care of this patient.
#Kidneywk
November 8, 2025 at 5:16 PM
Next up Dr. Ali Mehdi is going to help us navigate hyperkalemia risk in those with CKD+HF on RAS blockade

#kidneywk
@asnkidney.bsky.social
November 8, 2025 at 5:07 PM
What about hypERkalemia?
#kidneywk
November 8, 2025 at 5:03 PM
November 8, 2025 at 5:02 PM
What about the urine K : Cr ratio?
#Kidneywk
November 8, 2025 at 5:00 PM
November 8, 2025 at 4:58 PM
Check out the poster presentation by UT nephrology fellow Dr. Briggs Welch!
#Kidneywk
@utkidney.bsky.social
November 8, 2025 at 4:55 PM
Mechanism of hypokalemia in metabolic acidosis.
#kidneywk
November 8, 2025 at 4:52 PM
November 8, 2025 at 4:45 PM
Hypokalemic Periodic Paralysis
#Kidneywk
November 8, 2025 at 4:39 PM
Differentiating hypokalemia
Is the kidney helping or hurting…?
#Kidneywk
November 8, 2025 at 4:38 PM
Dr. Biff Palmer discussing “No More TTKG: What’s a nephrology professional to do?”

Congrats, Dr. Palmer, on receipt of the ASN 2025 #kidneywk Robert G. Narins Award 🥇
November 8, 2025 at 4:37 PM
Check out Dr. Jaya Kala’s poster on establishing Onco-Nephrology care in a safety-net healthcare system.

#kidneywk
@utkidney.bsky.social
@jayakala.bsky.social
November 8, 2025 at 4:15 PM