Nephrology Flashcards
1
Q
Give examples of drugs which should be stopped in an AKI as they may worse renal function
A
NSAIDs Aminoglyclosides ACE-I ARDs Diuretics
2
Q
Hyperkalaemia may occur in an AKI
How do you treat hyperkalaemia?
A
1) IV sodium gluconate - Stabilise the cardiac membrane
2) Insulin and dextrose infusion // salbutamol nebs - ST shift of potassium into the intracellular fluid
3) Calcium resonium // loop diuretics // dialysis - removal of potassium from the body
3
Q
Give the 2 main causes for acute tubular necrosis
A
Toxins - drugs
Ischaemia - reduced perfusion
4
Q
What 2 investigations do you want to do for ATN and what would they show to confirm the dx? (not bloods)
A
Urinalysis - muddy casts
R USS - increased renal size
5
Q
What abx do you use in pyelonephritis?
A
Ciprofloxacin
