acute kidney injury r Flashcards
1
Q
what is AKI
A
an abrupt loss in function causing retention of urea and nitrogenous waste and dysregulation of extracellular volume and electrolytes
2
Q
what test do you use to diagnose AKI
A
serum creatinine (rises in AKI)
3
Q
criteria for serum creatinine and urine output in AKI
A
creatinine rise by >1.5x age specific reference
urine output <0.5ml/kg for 8+ hours
4
Q
presentation of AKI
A
anuria/oliguria
hypertension
fluid overload
5
Q
investigations for AKI
A
serum creatinine urine output PEWS weight urinalysis
6
Q
pre-renal causes of AKI
A
problems with perfusion
- hypotension
- dehydration
7
Q
intrinsic renal causes
A
glomerular disease
acute tubular necrosis
nephritis
8
Q
post renal causes
A
obstructive uropathies - stricture, masses etc
9
Q
management of AKI
A
fluid hydration
manage electrolytes
stop nephrotoxic medication - NSAIDs
