management of AKI - amboss

Question 1

approach for supportive care

Answer 1

hold nephrotoxic substances:
adjust dosing of essential renally cleared medications
monange volume status and blood pressure to optimise kidney perfusion
identify and manage complications eg. electrolyte disturbances, acidosis, fluid overload

Question 2

SADMANS

Answer 2

sulfonylureas
ace inhibitors
diuretics
metformin
ARBs
NSAIDs
SGLT2 inhibitors

Question 3

hypovolaemia

Answer 3

IV fluid resus with isotonic crystalloids to restore fluid losses

Question 4

reduced effective arterial volume

Answer 4

cardiorenal syndrome: diuretic therapy in acute heart failure
hepatorenal syndrome: IV albimun, midodrine, ostreotide

Question 5

acute tubular necrosis

Answer 5

discontinuation of potential nephrotoxins
supportive care of AKI