Managing CKD - Acute Uremic Crisis

Question 1

Anemia is more likely in AKI or CKD?

Answer 1

CKD

Question 2

With similar degrees of azotemia, how can you differentiate AKI from CKD?

Answer 2

AKI patients will be much more ill.
So if you have a patient that is severly azotemic, but only has mild illness, it may be safe to assume its CKD

Question 3

AKI patients typically have small/large kidneys

Answer 3

large

patients with CKD typically have small kidneys

Question 4

Long-standing polydipsia is likely to be present in patients with AKI or CKD?

Answer 4

CKD

Question 5

If a patient has muscle wasting, they most likely have AKI or CKD?

Answer 5

CKD

Question 6

What are common physical exam findings / presenting complaints for a CKD patient presenting in uremic crisis?

Answer 6

dehydration
anorexia
vomiting
weakness
lethargy

Question 7

What diagnostics should you run on a patient that has CKD and may be in uremic crisis?

Answer 7

1. Chemistry – assess their azotemia and electrolytes
2. CBC – assess anemia (note that its probably worse than what it shows d/t dehydration)
3. possibly investigate for secondary problems (related or unrelated to the CKD)

Question 8

What are 2 conditions we worry that animals with CKD will develop?

Answer 8

1. systemic hypertension (monitor their BP and end-organ damage)
2. secondary UTIs (lower and upper, may often be subclinical)

Question 9

How do you treat a patient in uremic crisis?

Answer 9

1.