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Flashcards in AKI. Deck (11):
1

How quickly does AKI occur?

hours to days.

2

What U and E's do we see in AKI?

high urea and creatinine and low GFR.

3

What classification do we use for severity of AKI?

RIFLE

4

When thinking about AKI causes, how should we order our thoughts?

Pre-renal (systemic and local)
renal
post renal (lumen, wall and outside wall).

5

What are common pre-renal causes of AKI?

hypotension
renal artery stenosis
hypovolaemia
heart failure
renal vein thrombosis.
drugs

6

What are common renal causes of AKI?

glomerulonephritis
pyelonephritis
acute tubular necrosis
acute interstitial nephrosis

7

What are common post-renal causes of AKI?

stones
hydronephrosis
ureter thrombosis
tumour
stricture

8

What procedures give a particular risk of AKI?

surgery.

9

What should we do as soon as we find AKI?

stop nephrotoxics.

10

What are examples of nephrotoxic drugs?

steroids
NSAIDs
anti-hypertensives
diuretics
antibiotics.
metformi (due to lactic acidosis).

11

What are the treatment steps of AKI?

fluids (if needed)
remove nephrotoxics
catheter for fluid balance
1/2 clexane if low egfr
manage underlying cause.