management of AKI - amboss Flashcards
1
Q
approach for supportive care
A
hold nephrotoxic substances:
adjust dosing of essential renally cleared medications
monange volume status and blood pressure to optimise kidney perfusion
identify and manage complications eg. electrolyte disturbances, acidosis, fluid overload
2
Q
SADMANS
A
sulfonylureas
ace inhibitors
diuretics
metformin
ARBs
NSAIDs
SGLT2 inhibitors
3
Q
hypovolaemia
A
IV fluid resus with isotonic crystalloids to restore fluid losses
4
Q
reduced effective arterial volume
A
cardiorenal syndrome: diuretic therapy in acute heart failure
hepatorenal syndrome: IV albimun, midodrine, ostreotide
5
Q
acute tubular necrosis
A
discontinuation of potential nephrotoxins
supportive care of AKI