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Flashcards in AKI Deck (11)
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1
Q

First step in expected AKI

A

Urinalysis

2
Q

AIN leads to

A

Cellular/fluid exudation in IS

3
Q

AIN etiology

A

Allergic/drugs mc (beta lactams, quinolones) (7-10 days after exposure)
Infectious
Autoimmune
Idio

4
Q

AIN Presentation

A

Fever, maculopapular rash, eosinophilia, hematuria

Different for diff classes of medications

5
Q

AIN labs

A
elevated BUN/Cr
Eosinophilia
Ab LFT
Anemia
IgE up
6
Q

AIN Eosinophiluria test

A

Hansel Stain, not hallmark

7
Q

AIN Path

A

Interstitial inflamm and tubulitis

Lymphocytes (Tcells) and monocytes

8
Q

AIN Dx

Treatment

A

Renal scan with gallium scintigraphy

Discontinue agent
Steroids
MMF

If AKI <3 wks, try steroids
If KF improves, contin steroids for 4-6 wk, taper for 4

9
Q

ATN Rhabdo Therapy

A

IV isotonic fluids
Avoid nephrotoxics
Close monitorying

10
Q

Rhabdo AKI path

A

Intrarenal vasoconstriction, generation of free radicals
Direct ischemic toxic injury
Tubular obstruction

11
Q

Rhabdo manifestations

Treatment

A

Pigmented granular casts
Elevated CK
Dipstick + for blood but no RBC

Conservative hypocalcemia management