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
And it kills me when patient says something like “oh the hospital doc said that medicine was hurting my kidneys”
And then there’s reluctance to resume.

So I try to teach trainees to be mindful of their choice of words if holding RASi is indeed necessary.
November 8, 2025 at 10:20 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
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
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