AG2-AKI/CKD

Question 1

Goals for patient?

Answer 1

1. completely recover without any loss of kidney function.
2. Maintain normal fluid and electrolyte balance.
3. Have decreased anxiety
4. Adhere to and understand the need for careful follow up care.

Question 2

Potential causes of dehydration in the elderly?

Answer 2

Polypharmacy (diuretics, laxatives, drugs that suppress appetite or consciousness), acute febrile illnesses, immobility which increases the risk of urinary stasis which can lead to kidney injury.

Question 3

Causes of AKI in the elderly?

Answer 3

hypotension, diuretic therapy, aminoglycoside therapy, obstructive disorders (BPH), surgery, infection, and contrast media.

Question 4

If a patient is taking nephrotoxic drugs which labs should you monitor?

Answer 4

BUN and GFR

Question 5

Factors that increase the risk for developing AKI in the hospital?

Answer 5

preexisting CKD, older age, massive trauma, major surgical procedures, extensive burns, cardiac failure, sepsis, obstetric complications.