Acute Renal Failure Tx Flashcards

1
Q

Mannitol is contraindicated in what?

A

Anuria, dehydration

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2
Q

Furosemide is contraindicated in what

A

Dehydration, lethargy, tachycardia, ototoxicity

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3
Q

When would you use dopamine in ARF?

A

Only in ARF secondary to cardiac output failure or severe hypotension

NOT IN CATS

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4
Q

What do you use fenoldopam for?

A

Increase urine output (D1 agonist)

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5
Q

How do Calcium channel blockers work?

A

Afferent vasodilation

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6
Q

Ethylene glycol tx

A

4-methyl pyrazole within 8 hours

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7
Q

NSAID toxicity tx

A

Misoprostol (PGE analog)

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8
Q

Lepto tx

A

Penicillins + doxycycline

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9
Q

Pyelonephritis tx

A

Culture, fluoroquinolones/TMS

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10
Q

Aminoglycoside tox tx

A

Misoprostol (PGE analog)

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11
Q

TMS tox tx

A

Urinary alkalization

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12
Q

Hyperkalemia tx

A

Insulin + dextrose

Monitor BG

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13
Q

Acidosis tx

A

HCO3- (bicarb)

NOT when hypercapnia

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14
Q

Hypocalcemia tx

A

Calcium gluconate

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15
Q

Hypercalcemia tx

A

Diuresis/ERRT
Furosemide/glucocorticoids
Calcium
Biphosphates

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16
Q

Hyperphosphatemia tx

A

Aluminum hydroxide (binder)

17
Q

Hypertension tx

A

Cats—amlodipine (ca-channel blocker)
Dogs—benazepril (AVOID ACEi)
Hydralazine (both?)

18
Q

Uremic gastrophathy tx

A

Omeprazole, pandoprazole (proton pump inhibitors)

Famotidine, ranitidine (H2 blockers)

19
Q

Prokinetics

A

Ondasetron—serotonin receptor antagonist

Metoclopramide—D2 receptor antagonist

20
Q

Anti-emetics

A

Metoclopramide—D2 receptor antagonist

Maropitant—NK1 receptor antagonist