old persons 21/10

Question 1

AKI symptoms?

Answer 1

Depends on the cause I guess

Question 2

Risk factors for AKI

Answer 2

DIabetes
CKD
CCF
Elderly >75
Sepsis
Medications-ACEi, ARBs, NSAIDS, antibiotics

Question 3

Why are ACEi’s and ARBs a risk for AKI?

Answer 3

ACE inhibitors or ARBs generally preserve renal function. However, these medicines can also decrease glomerular filtration by causing vasodilation of the efferent renal arteriole. These drugs can lead to impaired renal autoregulation, thus lowering GFR. (hence build up of creatinine and less urine)

https://bpac.org.nz/2018/triple-whammy.aspx

Question 4

Acute kidney injury causes; name one from each category (pre, intra, post renal)

Answer 4

Question 5

How does glomerular disease cause aki?

Answer 5

it just can

Question 6

Stages of AKI

Answer 6

Question 7

Whats polymyalgia rheumatica?

Answer 7

Is a clinical syndrome characterised by pain and stiffness of the shoulder, hip girdles and neck. (more proximal joints are affected!)

Usually occurs in elderly, new onset.

PMR has lack of swelling therefore not RA

Question 8

Steroids uses

Answer 8

E.g. Prednisolone is an inhaled oral steroid used in chronic asthma exacerbations