lewis ch 46 AKI and CKD

Question 1

classification AKI

Answer 1

• sudden
• reversible
• classified by increased creatinine or reduction in urine output
• caused by tubular necrosis
• cause of death: infection

Question 2

classification CKD

Answer 2

• gradual onset
• nonreversible
• classified by GFR <15 for 3+ months
• caused by diabetic neuropathy
• cause of death: CVD

Question 3

3 phases AKI

Answer 3

oliguric
diuretic
recovery

Question 4

S+S oliguric phase AKI

Answer 4

• oliguria
• urinalysis: casts, WBC, RBC
• elevated BUN and creatinine
• metabolic acidosis

Question 5

S+S diuretic phase AKI

Answer 5

• gradual increase urine output
• dehydration
• hypotension
• BUN and creatinine normalize

Question 6

S+S recovery phase AKI

Answer 6

• GFR increases

- BUN and creatinine plateau then decrease

Question 7

S+S CKD

Answer 7

• pitting edema
• ammonia odor to breath
• anemia
• increased potassium
• yellow gray skin color
• cramps, pain

Question 8

people at risk for CKD

Answer 8

• diabetes
• hypertension
• h/o kidney disease
• repeated UTIs