Renal

Question 1

Normal BUN

Answer 1

6-20 mg/dL

Question 2

Creatine

Answer 2

0.6-1.3 mg/dL

Question 3

Creatine clearance

Answer 3

GFR 70-135 mL/min

Question 4

Oliguria

Answer 4

100-400 mL/day

Question 5

Anuria

Answer 5

<100 mL/day

Question 6

Normal urine output (Bowman)

Answer 6

0.5-1.0 mL/kg/hr

Question 7

Normal urine output (text)

Answer 7

30 mL/hr

Question 8

Nephrotoxic drugs

Answer 8

Aminoglycosides (gentamycin, amikacin, amphotericin B)

Question 9

Nephrotoxic chemicals

Answer 9

Ethylene glycol, lead, arsenic, carbon tetrachloride

Question 10

Drugs that cause interstitial nephritis

Answer 10

Abx (sulfonamides, rifampin), NSAIDS, ACE inhibitors

Question 11

Postrenal causes

Answer 11

Benign BPH, bladder cancer, calculi, neuromuscular disorders, prostate cancer, spinal cord disease, strictures, trauma, ureteral obstructions

Question 12

RIFLE

Answer 12

Risk, Injury, Failure, Loss, ESRD

Question 13

Urinalysis fixed specific gravity

Answer 13

1.010

Question 14

Urine osmolality

Answer 14

~300 mmol/kg

Question 15

Diuretics

Answer 15

Lasix, Bumex, Mannitol, Dopamine (3 mcg/min)

Question 16

Drug for cardiac dysrhythmias

Answer 16

Calcium gluconate

Question 17

Drug to fix hyperkalemia (rectally/orally)

Answer 17

Kayexalate (Na+ polystyrene sulfonate

Question 18

Uremia

Answer 18

BUN > 120 mg/dL

Question 19

Renal Replacment Therapy

Answer 19

1. Acidosis
2. Electrolyte imbalances
3. Indigestion (DODs, antifreeze)
4. Overload (mental status change)
5. Uremia

Question 20

Protein restriction for AKI

Answer 20

< 1g/kg

Question 21

Fuel from carbs/fat for AKI

Answer 21

30-40%

Question 22

CKD Stage 1

Answer 22

> 90

Question 23

CKD Stage 2

Answer 23

60-89

Question 24

CKD stage 3

Answer 24

30-59

Question 25

CKD stage 4

Answer 25

15-29

Question 26

CKD 5

Answer 26

<15 or on dialysis