Urinary problems Flashcards
1
Q
Name a classification system for AKI?
Explain it
A
- RIFLE class:
- Risk: creatinine x1.5, UO <0.5ml 6hr
- Injury: creatinine x2, UO <0.5ml 12hr
- Failure: creatinine x3/ >4mg/dl, UO <0.3ml x24hr
2
Q
What investigations do you want?
HINT: think causes and effects
A
- Volume assessment
- Septic Screen
- USS
- Urinalysis and microscopy
- FBC, U+Es, LFTs, Bicarb, Ca, K, coagulation
3
Q
What might you find on an ECG, ABG, CXR?
A
- hyperkalaemia so TTT waves
- Acidosis and hyperkalaemia
- HF with pulmonary oedema
4
Q
why would you do coagulation in AKI?
What type of AKI might cause a disproportionately high urea?
A
- liver involvement
- pre-renal causes
5
Q
How is AKI treated?
A
- Treat underlying cause
- optomise fluid balance
- treat overload with nitrates, furosemide and 02
- Treat complications
- Review drug chart
6
Q
What is the criteria for renal replacement therapy?
A
UFAKE:
- Uraemic encephalopathy/ pericarditis
- Fluid overload
- Acidosis
- K+
- Extras: (TNT= tox, Na (hi/low), temperature)
7
Q
what is the management of renal colic?
A
- high fluid intake
- antiemetics
- analgesia
- small stones pass spontaneously
8
Q
what discharge advice would you give to someone with renal colic? (2)
what complication should you be aware of in renal colic?
A
- drink loads
- reduce salt
- post-renal AKI
