AKI

Question 1

What is AKI stage 1?

Answer 1

Greater than or equal to 1.5 times the baseline creatinine or UO less than normal for more than 6 hours

Question 2

Stage 2 AKI

Answer 2

Greater than or equal to two times the baseline creatinine or UO less than normal for more than twelve hours

Question 3

Stage 3 AKI

Answer 3

Greater than 3 times the baseline or UO <0.3 for 24 hours or anuria for 12 hours

Question 4

How do you obtain a baseline creatinine

Answer 4

Lowest value within 7 days of current value (if unavailable go up to one year)

Question 5

If a patient has an AKI and a negative urinalysis what is the cause

Answer 5

Prerenal

Question 6

When do you admit for an AKI

Answer 6

Stage 3 or infected obstructed system

Question 7

Untreated prerenal AKI can lead to

Answer 7

Acute tubular necrosis

Question 8

Treat prerenal

Answer 8

Fluid challenge

If >1000mls and no improvement seek help

Question 9

What to do in renal AKI

Answer 9

Urinalysis and consider renal biopsy

Question 10

When give dialysis in AKI

Answer 10

Persistent anuria and uraemia

Question 11

If you see hyperkalaemia in AKI what do you do

Answer 11

ECG

Question 12

Treat hyperkalaemia

Answer 12

10mls 10% calcium gluconate
Insulin with 50mls 50% dextrose
Salbutamol Nebs

Question 13

What are the life threatening complications of AKI

Answer 13

Hyperkalaemia 
Fluid overload 
Severe acidosis 
Uraemic pericardial effusion 
Severe uraemia

Question 14

What drugs cause prerenal AKI

Answer 14

NSAIDS
COX2
Diuretics

Question 15

What drugs cause renal AKI

Answer 15

Gentamicin
Digoxin
Contrast in XRays

Question 16

When prescribing metformin what should you check?

Answer 16

Creatinine (if high don’t give it)

Question 17

How do you treat chronic hyperkalaemia

Answer 17

Calcium resonium and low vitk diet