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RENAL > [AKI] > Flashcards

[AKI] Flashcards

1
Q
A

3

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2
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1.5x baseline
or
rise of >26 micromol/L in 48 hours

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3
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A

6 hrs

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4
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2-2.9x baseline

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5
Q
A

12hrs

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6
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A 
>3x baseline
or
>354 micromol/L in 48 hours
or
RRT
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7
Q
A

24 hours
or
anuric for 12 hours

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8
Q
A

Pre-renal
Intrinsic
Post-renal

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9
Q
A

Pre-renal - 40% - 70%

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10
Q
A

renal hypoperfusion

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11
Q
A

Renal artery stenosis
Hypotension
sepsis
cardiac output failure

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12
Q
A

Tubular
Glomerular
Interstitial
Vascular

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13
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A

acute tubular necrosis

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14
Q
A

intrinsic

tubular

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15
Q
A

intrinsic

glomerular

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16
Q
A 
intrinsic
interstitial 
(i.e. infiltration)
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17
Q
A

Vascular

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18
Q
A

luminal
mural
extrinsic compression

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19
Q
A

sloughed papillae
stones
clots

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20
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A

strictures

malignancy

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21
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A

BPH

retroperitoneal fibrosis

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22
Q
A

post-renal

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23
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A

BPH

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24
Q
A

USS

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25
Q
A

distension and dilation of the renal pelvis and calyces

26
Q
A

previous high creatinin/low GFR Ix results

27
Q
A

Small (<9cm)

28
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A 
Refractory pulmonary oedema
persistent hyperkalaemia
Severe metabolic acidosis
Any uraemic complication
Drug overdose
29
Q
A

BLAST

30
Q
A 
Barbituates
Lithium
Alcohol
Salicylates
Theophyline
31
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A

pH <10

32
Q
A

Volume status –> euvolaemia
Stop nephrotoxic drugs
nutrition

33
Q
A 
Raised JVP
Raised BP
Pulmonary crepitations
peripheral oedema
Gallop rhythm (cardiac ausculation)
34
Q
A 
reduced urine output
reduced JVP
Reduced BP
poor tissue turgor
Quick pulse
35
Q
A

K+ content

36
Q
A

catheterise

37
Q
A

Uraemic
Pulmonary oedema
Hyperkalaemia
Acidaemia

38
Q
A

uraemic encephalitis

uraemic pericarditis

39
Q
A

no - just a good marker

40
Q
A

reflects a reduction in the excretion of toxins

41
Q
A

reduction in GFR

fluid overload

42
Q
A

K+ are excreted in the collecting duct

43
Q
A

> 5.5 mmol/L

44
Q
A

Rhabdomyolysis

Hypoaldosteronism

45
Q
A

Tall ‘tented’ T waves
small/absent P wave
Increased PR interval
Widened QRS complex

46
Q
A 
10mL 10% calcium gluconate (IV)
\+
IV insulin  
\+
IV Glucose
47
Q
A

cardioprotective

48
Q
A

Insulin stimulates intracellular uptake of K+

49
Q
A

So blood glucose is minimally affected by insulin/also facilitates process

50
Q
A

salbutamol nebulizer

51
Q
A

tachycardia

52
Q
A

NaHCO3 50mL/8.4%

53
Q
A 
Sit up
High flow O2
Diamorphine 2.5g IV 
Cyclizine
Furosemide
54
Q
A

Venous vasodilator

55
Q
A

anti-emitic (SE of diamorphine)

56
Q
A

RRT

57
Q
A

CTKUB

58
Q
A

Haemodialysis

Haemofiltration

59
Q
A

wegeners granulomatosis

60
Q
A

T

RENAL (14 decks)

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