Kidney stuff Flashcards Preview

Sam: Hospital Medicine > Kidney stuff > Flashcards

Flashcards in Kidney stuff Deck (8)
Loading flashcards...
1
Q

What are some symptoms of acute kidney injury?

A

Edema, HTN, decreased urine output

Remember, there are frequently no symptoms of noticeable symptoms

2
Q

Will some one with acute kidney injury have

  1. Increased or decreased BUN?
  2. Hyper or hypokalemia?
  3. Hyper or hyponatremia?
A

Increased BUN

Hyperkalemia

Hyponatremia

3
Q

What are two ways we can prevent acute kidney injury?

A
  1. Sustain renal perfusion – fluid balance, blood volume, blood pressure maintenance
  2. “Don’t clog the pipes” – aggressive IVF in setting of hemolysis or rhabdomyolysis
4
Q

What is the most important step in managing a patient with acute kidney injury?

A

Searching for and identifying the cause

5
Q

Meticulous management of intake is very important in managing a patient with AKI, what things should we be particularly aware of?

A

Water (UO + 500mL), meds, proteins, potassium, sodium, and phosphorus

6
Q

What does KDIGO stand for?

A

Kidney disease improving global outcome

7
Q

What are the two KDIGO guidlines?

A

Rise in creatinine greater than 0.3 mg/dL from normal

Decrease in urine output to less than 3mL/kg/hr over 6 hours

8
Q

Prerenal azotemia can be due to inadequate perfusion – by what 3 mechanisms?

A
  1. Dehydration (inadequate PO intake, GI losses, diuretics)
  2. Cardiac or hepatic failure
  3. Prolonged renal ischemia