AKI vs. CRF

Question 1

Define Acute Kidney Injury

Answer 1

Sudden loss of kidney function, that is usually reversible

Question 2

3 examples of pre-renal causes of AKI

Answer 2

1. Hemorrhage
2. Volume Depletion
3. Decrease in cardiac output

Question 3

3 examples of intra-renal causes of AKI

Answer 3

1. Acute Glomerular Nephritis
2. Contrast Dye
3. Overdose on NSAIDS, anti-freeze ingestion etc.

Question 4

3 examples of post-renal causes of AKI

Answer 4

1. Bladder or ureter malignancy
2. Kidney stones
3. Benign Prostatic Hyperplasia

Question 5

In AKI how you help restore kidney function?

Answer 5

Eliminating the cause of AKI

Question 6

In AKI how do you protect the kidneys from further injury?

Answer 6

Educate patient on things to avoid like NSAIDS, IV Contrast etc.

Question 7

In AKI why is it important to monitor weight and BP?

Answer 7

To prevent hypovolemia and hypotension which can further damage the kidneys. Being a little “wet” is better than dry.

Question 8

AKI patients are at an increased risk for which complication?

Answer 8

Infections

Question 9

What are the 4 treatment goals for a patient with Chronic Kidney Disease?

Answer 9

1. Slow the progression of CKD
2. Manage comorbidities
3. Control symptoms
4. Renal replacement modality education (dialysis options)

Question 10

Most common causes of Chronic Renal Failure in the USA?

Answer 10

Diabetes and HTN

Question 11

Why is it important to know what caused your patient’s CRF?

Answer 11

To know what meds they are on and what is and isn’t normal for them.