AKI Flashcards
What should indicate dialysis or haemofilitraito in AKI?
AEIOU
A= acidosis metabolic with pH of less than 7.2
E=2.718 electrolyte imbalance of resistant hyperkalemia
I= intoxication with drugs or poisoning
O=oedema that is refractory
U= uraemic encephalopathy or perciarditis
What are the investigations at bedside for AKI?
Urinalysis with urine did
ECG for hyperkalemia complications
Blood gas for acidosis
What are the investigations for AKI?
U&Es for Creatine a dn hyperkalemia
FBC for:
anaemia indicating vasculitis
Raised wBC in infection
Bone profile for hypercalcaemia
Creatine kinase for rhabdomyolysis
What imaging is performed for AKI?
Bladder scan for urinary retention suspected
Ultrasound of kindeys, ureters and bladder
CT KUB is more sensitive
What is the management of AKI?
IV fluid resuscitation
Catheter for post-renal AKI
Manage electrolyte complications
Suspend Nephrotoxic drugs like NSAIDs An aminoglycosides
What investigation for post-rena acute AKI?
Bladder scan
Flushing urinary catheter
Which type of damage does rhabdomyolysis cause?
Acute tubular necrosis
Which drug should be withheld in AKI with hypotension?
Antihypertensives like ACE inhibitors
Loop diuretic
Which drug should be withheld in AKI because of risk of lactic acidosis?
Metformin
What is the best course of management for renal colic main?
Urgent decompression with nephrostomy, that drains the urine from the kidney through an opening in the bac
What is the indication for renal nephorsotmy?
SIRS criteria for systemic inflammatory response syndrome being:
High body temp
High heart rate
High resp rate
Partial pressure of CO2 low
What is the risk factors including being for AKI?
Post-obstructive diuresis
