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

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2
Q

SADMANS

A

sulfonylureas
ace inhibitors
diuretics
metformin
ARBs
NSAIDs
SGLT2 inhibitors

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3
Q

hypovolaemia

A

IV fluid resus with isotonic crystalloids to restore fluid losses

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4
Q

reduced effective arterial volume

A

cardiorenal syndrome: diuretic therapy in acute heart failure
hepatorenal syndrome: IV albimun, midodrine, ostreotide

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5
Q

acute tubular necrosis

A

discontinuation of potential nephrotoxins
supportive care of AKI

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