AKI

Question 1

AE of AKI

Answer 1

airway - if conscious NP or guedell

D - if drowsy important to check the PUPILS !!!!!

E- abdominal examination
PUT CATHETER IM IF NOT ALREADY TO MONIOR URINE OUTPUT
request a bladder scan

Question 2

Potassium is 7 how to manage

Answer 2

speak to someone senior
before initiating calcium gluconate

insulin +dextrose infusion

salbutamol nebs

HEART MONITORING

repeat ECG and VBG

Question 3

possible causes of AKI

Answer 3

pre-renal = hypovolemia
liver fialure or heart failjure

renal - glomerulonephritis
drugs
contrast induced

post renal - renal stones
BPH
cathter problems or tumor

Question 4

after initiating management for hyperkalaemia - 2 hours bloods show 7.1 mx?

Answer 4

realise now its REFACTORY HYPERKALEMIA

IS THE CANNULA IN PLACE , ANY EXOGENOUS SOURCE OF POTASSIUM

senior advice
if this patient would be a likely candidate for dialysis

to repeat the bloods again - as we cannot rely on one vbg

continue current treatment and if we can give some more fluids

MOVE PATINET TO RESUS SETTING AND INVOLVE ITU

Question 5

indications for dialysis

Answer 5

AEIOU

metabolic acidosis

electrolyte imablance - refactory hyperkalemia

ingestions or overdose of drugs or toxin

o - overload unrepsonsive t treatmnet

u - uremia

CKD STAGE 5

Question 6

AKI stages ?

Answer 6

Stage 1
Increase in creatinine to 1.5-1.9 times baseline
Reduction in urine output to <0.5 mL/kg/hour for ≥ 6 hours

stage 2
ncrease in creatinine to 2.0 to 2.9 times baseline, or
Reduction in urine output to <0.5 mL/kg/hour for ≥12 hours

stage 3
increase in creatinine to ≥ 3.0 times baseline
Reduction in urine output to <0.3 mL/kg/hour for ≥24 hours