Renal/Urology Flashcards
triad of haemolytic uraemic syndrome
AKI
haemolytic anaemia
thrombocytopenia
CKD can lead to what complication that may cause fractures?
secondary hyperparathyroidism
define AKI in terms of urine output
<0.5ml/kg/hr
Define AKI in terms of creatinine
creatinint rise of >26mmol/l in 48 hours
OR
50%+ rise in serum creatinitne to occur within the past 7 days
which drugs should be stopped in AKI
NSAIDs
aminoglycosides
ACEis, ARBs
diuretics
treatment of hyperkalaemia
IV calcium gluconate
treatment of hyperphosphataemia in patients with CKD
sevelamer
how to screen for diabetic neurpathy?
albumin:creatinine ratio (early morning)
most common extra renal manifestation of ADPKD?
liver cysts
berry aneurysms
ABG in AKI
Metabolic acidosis with raised anion gap
Maintenane fluids in children?
100ml per first 10kgs
50ml per next 10kgs
20ml for every subsequent kg
most common cause of nephrotic syndrome in children?
minimal change disease
indications for dialysis
hyperkalaemia
acidosis
uraemia
what drugs to stop in AKI
diuretics
ACE inhibitors
metformin
NSAIDs
blood results in haemolytic uraemic syndrome?
normocytic anaemia
thrombocytopenia
AKI
potassium requirement for adults per day in fluids?
1mmol/kg/day
water requirements for an adult in 24 hours?
25-30ml/kg/day
risk of 0.9% normal saline in patients that require a lot of fluid?
hyperchloraemic mtabolic acidosis
when is hartmann’s contraindicated
in patients weith hyperkalaemia
treatment of goodpasture’s syndrome
plasma exchange
steroids
cyclophosphamide
what is seen on renal biopsy in good pastures?
IgG deposits on the basement membrane