acute kidney injury 1 Flashcards

1
Q

what is the def of AKI

A

abrupt decline in renal function

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2
Q

what are the 3 specific criteria of AKI

A
  1. increase in SCR of .3 mg/dL
  2. increase of 50% of SCr (1.5 x increase from baseline)
  3. decrease in urine output (.5ml/kg/hour for more than 6 hours)
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3
Q

up to how many cases of AKI are drug induced?

A

60%

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4
Q

what is anuria

A

urine output of less than 50 ml per day

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5
Q

what is oliguria

A

urine output of 50-450 ml per day

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6
Q

what is nonoliguria

A

urine output of more than 450 ml per day

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7
Q

what is the term for making the lowest amount of urine per day

A

anuria

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8
Q

of the 3 types of urine output, which two have the highest morbitidy rates in AKI

A

anuric and oliguric AKI pt’s

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9
Q

what ar3 the serum creainine criteria for stage 1 AKI

A

increase in SCr greater than or equal to 0.3 mg/dl
OR
increase of 1.5 to 1.9x’s baseline

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10
Q

what is the serum creainine criteria for stage 2 AKI

A

increase2 to 2.9 times baseline

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11
Q

what are the serum creainine criteria for stage 3 AKI

A
increase 3 times baeline
OR
increase by 4mg/dl or more
OR
replacement therapy OR (dialysis)
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12
Q

what is staging for AKI based on?

A
  1. serum creatinine criteria

2. urine output criteria

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13
Q

what patients have the highest incidence of AKI

A

intensive care patients

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14
Q

what is azotemia

A

increase in nitrogen waste products

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15
Q

what is the clinical syndrome resulting from azotemia

A

uremia

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16
Q

what lab levels indicate azotemia

A

increased BUN and increased SrCr

17
Q

what is the most common symptom of uremia

A

altered mental status

18
Q

are uremia and azotemia involved with AKI or CKD

A

AKI

19
Q

what are 3 signs of AKI?

A

edema
urine discolored or foamy
orthostatic hypotension

20
Q

what is a common test for testing urine for protein

A

dipstick test

21
Q

what is sediment analysis

A

analyzing urine for blood cells and casts

22
Q

what is the formula for fractional excretion of sodium

A

FE = (Una x P x 100)/(Ucr x Pna)

23
Q

what is the FEna level for patients with prerenal disease

A

less than one

24
Q

what is the Fena for patients with acute tubular necrosis

A

greater than one

25
Q

what are 4 tests for diagnosing AKI

A
  1. dipstick test
  2. urine osmality
  3. Sediment analysis
    4, fractuibak exretion of Na (FENa)
26
Q

eosinophils in sediment analysis often indicates what condition?

A

acute interstitial nephritis