Acute on Chronic Uremic Crisis (Quimby)

Question 1

What does dehydration do to your PCV?

Answer 1

increase it

Question 2

What are some things that we can “fix”?

Answer 2

• Urinary tract infection/Pyelonephritis
• Hypokalemia
• Constipation

Question 3

What is a concern for Fluoroquinolone IV?

Answer 3

Retinal Damage

Question 4

The failure of an organ to compensate for the functional overload resulting from disease

Answer 4

decompensation

Question 5

For each possible cause that could lead to the decompensation of CKD, pick a type (or multiple types) of information that you could gather that would help confirm this as a contributing factor to the patients crisis.
- stress or change in routine

Answer 5

history

Question 6

For each possible cause that could lead to the decompensation of CKD, pick a type (or multiple types) of information that you could gather that would help confirm this as a contributing factor to the patients crisis.
- constipation

Answer 6

history, physical exam, abdominal radiographs

Question 7

For each possible cause that could lead to the decompensation of CKD, pick a type (or multiple types) of information that you could gather that would help confirm this as a contributing factor to the patients crisis.
- hypokalemia

Answer 7

chemistry

Question 8

For each possible cause that could lead to the decompensation of CKD, pick a type (or multiple types) of information that you could gather that would help confirm this as a contributing factor to the patients crisis.
- Urethral obstruction

Answer 8

ultrasound and/or abdominal radiographs

Question 9

For each possible cause that could lead to the decompensation of CKD, pick a type (or multiple types) of information that you could gather that would help confirm this as a contributing factor to the patients crisis.
- other uncontrolled systemic diseases

Answer 9

chemistry, CBC, UA, T4, imaging

Question 10

(T/F) After hospitalization for an acute on chronic uremic crisis, home care, monitoring and follow up are critical to the success of the management plan

Answer 10

True

Question 11

(T/F) It is necessary to get the phosphorus under control as quickly as possible in the hospitalized CKD patient, so renal diet and phosphate binders are prescribed

Answer 11

False
- Management of phosphorus is a long-term goal for the CKD patient