Nephrology Typing Practice

This page loads the nephrology pack: consult and dialysis note lines, urine studies, kidney imaging and biopsy reads, and renal drugs with their doses. Select Nephrology in the Specialty menu or start from a preset, and the pack is mixed into the general clinical corpus as you type.

Open the trainer with the Nephrology pack

Dialysis rounds, shorthand on AKI and electrolyte consults Biopsy and transplant reads

Preset links open the trainer with those settings already applied; you can change them afterward.

What nephrology notes are made of

Inpatient nephrology is consults for AKI, hyperkalemia, hyponatremia and inpatient dialysis, daily follow-ups, chairside HD and CRRT rounding notes, and procedure notes for biopsies and temporary catheters. Outpatient work comes from CKD clinic, monthly dialysis rounds, home PD, transplant, glomerular disease and stone clinics.

Most of the typing sits in a problem-based plan: AKI, volume, electrolytes, acid-base, anemia, bone and mineral disease, access and immunosuppression. The same numbers recur in every note: creatinine against a baseline, potassium and bicarbonate, the sodium correction rate, UPCR and UACR, and eGFR with its G and A stage. Dialysis adds shorthand for the bath (2K/2.5Ca), blood flow, ultrafiltration goal and estimated dry weight, typed at every treatment. CRRT adds effluent dose in mL/kg/h, and transplant notes add tacrolimus troughs and donor-specific antibodies.

What the nephrology pack adds

At 1,188 new items this is one of the larger packs, and it gives extra weight to 440 renal items already in the general corpus. Nearly half are note phrases (569), in the order nephrologists write a plan: AKI workup and dialysis indications, hyperkalemia from stabilizing through binders, hyponatremia with correction limits, acid-base with the delta-delta and Winter formula, HD, PD and CRRT orders, and dialysis and CRRT nursing lines. Glomerular disease and transplant get a lot of space because their sentences are long and repeat often. The 111 report lines cover kidney and transplant ultrasound, biopsy light microscopy, immunofluorescence and electron microscopy, Banff lesions, urine sediment and fistulograms.

• Outpatient dialysis orders sent: 4 hours, 2 potassium, 2.5 calcium bath, estimated dry weight 72 kg
• CVVHDF with effluent dose 25 mL/kg/h, blood flow 150 mL/min, net fluid removal 100 mL/h
• Chronic hyponatremia, goal correction 4 to 6 mEq/L in 24 hours, not to exceed 8
• Prerenal physiology favored given FENa 0.4% and bland sediment
• Tacrolimus trough 6.2, goal 8 to 10 in the first 3 months
• Electron microscopy with subepithelial electron-dense deposits and GBM spikes

Dosing covers 100 drugs with standard orders: phosphate binders such as sevelamer carbonate 800 mg po tid with meals, potassium binders, ESAs and IV iron, diuretics, and transplant and glomerular immunosuppression. Doses that depend on drug levels or local protocol, such as intraperitoneal antibiotics for PD peritonitis, appear only in phrase form.

How to practice

With Nephrology selected, roughly half of the draws come from the pack and the rest from the general corpus, and the category chips filter both. Note Phrases with Physiology & Labs is the core of a consult note. Radiology & Path Findings on its own gives biopsy, ultrasound and sediment reads mixed with general report lines.

The Abbreviations toggle is worth using in both positions, because renal shorthand compresses a lot: "Outpatient dialysis orders sent: 4 hours, 2 potassium, 2.5 calcium bath, estimated dry weight 72 kg" becomes "Outpt HD orders sent: 4 hrs, 2K/2.5Ca bath, EDW 72 kg". Block mode stops the stream until each error is fixed, the right setting while slashes, decimals and units still cost you. Cascade lets errors pass and keeps the text moving, closer to the pace of chairside rounds; switch to it once your accuracy is steady. Five to ten minutes on most days works better than an occasional long session. AI Mode runs on top of any of these settings, and there is no account: progress stays in your browser.