Values

Question 1

Criteria for AKI (3)

Answer 1

Rise in creatinine by 26 or > in 48hrs
>=50% rise in creatinine over 7 days
Fall in urine output to <0.5ml/kg/hr for more than 6 hours in adults and 8hrs in children

Question 2

Stage 1 AKI (creatinine and uo)

Answer 2

Increase in creatinine by 1.5 to 1.9 times baseline
Reduction in uo to <0.5 ml kg hr for >=6hrs

Question 3

Stage 2 AKI (creatinine and uo)

Answer 3

Increase in creatinine by 2.0-2.9 times baseline
Reduction in uo to <0.5 ml kg hr for >=12hrs

Question 4

Stage 3 AKI (creatinine and uo)

Answer 4

Increase in creatinine by >=3.0 times baseline
Reduction in uo to <0.3 ml kg hr for >=24hrs
Or
Initiation if kidney replacement therapy

Question 5

DKA resolution

Answer 5

pH> 7.3
ketones <0.6
bicarb >15

should resolve within 24 hrs. get specialist if not

Question 6

DKA values

Answer 6

glucose>11
pH<7.3
bicarb<15
ketones> 3mmol/l or ++ on urine

Question 7

CURB65 score and meaning

Answer 7

C Confusion (abbreviated mental test score <= 8/10)
R Respiration rate >= 30/min
B Blood pressure: systolic <= 90 mmHg and/or diastolic <= 60 mmHg
65 Aged >= 65 years

0: low risk treatment at home
1 or 2: intermediate risk- hospital assessment should be considered (particularly for people with a score of 2)’
3 or 4: high risk- urgent admission to hospital

add U to CURB in hospital- U>7