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Flashcards in acute kidney injury 1 Deck (26):
1

what is the def of AKI

abrupt decline in renal function

2

what are the 3 specific criteria of AKI

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)

3

up to how many cases of AKI are drug induced?

60%

4

what is anuria

urine output of less than 50 ml per day

5

what is oliguria

urine output of 50-450 ml per day

6

what is nonoliguria

urine output of more than 450 ml per day

7

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

anuria

8

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

anuric and oliguric AKI pt's

9

what ar3 the serum creainine criteria for stage 1 AKI

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

10

what is the serum creainine criteria for stage 2 AKI

increase2 to 2.9 times baseline

11

what are the serum creainine criteria for stage 3 AKI

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

12

what is staging for AKI based on?

1. serum creatinine criteria
2. urine output criteria

13

what patients have the highest incidence of AKI

intensive care patients

14

what is azotemia

increase in nitrogen waste products

15

what is the clinical syndrome resulting from azotemia

uremia

16

what lab levels indicate azotemia

increased BUN and increased SrCr

17

what is the most common symptom of uremia

altered mental status

18

are uremia and azotemia involved with AKI or CKD

AKI

19

what are 3 signs of AKI?

edema
urine discolored or foamy
orthostatic hypotension

20

what is a common test for testing urine for protein

dipstick test

21

what is sediment analysis

analyzing urine for blood cells and casts

22

what is the formula for fractional excretion of sodium

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

23

what is the FEna level for patients with prerenal disease

less than one

24

what is the Fena for patients with acute tubular necrosis

greater than one

25

what are 4 tests for diagnosing AKI

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

26

eosinophils in sediment analysis often indicates what condition?

acute interstitial nephritis