Flashcards in AKI Deck (14)
what happens to urea and Cr during AKI?
what are the post renal causes of renal disease ? SNIPPIN?
Posterior urethral valves
Infection: TB, schisto
Neuro: post-op, neuropathy
what is the presentation of AKI?
Uraemia / Azotaemia
Oedema, inc. pulmonary ↑BP(or↓)
what investigations should be done for AKI?
Bloods: FBC, U+E, LFT, glucose, clotting, Ca, ESR
ABG: hypoxia (oedema), acidosis, ↑K+
GN screen: if cause unclear
Urine: dip, MCS, chemistry (U+E, PCR, osmolality, BJP)
CXR: pulmonary oedema
Renal US: Renal size, hydronephrosis
in pre renal failure, is urine dilute or concentrated?
is Na conc of urine in pre renal failure high or low?
what is ESRF?
complete loss of function >3months
what are the 5 stages of AKI?
what is the GFR at each stage of AKI?
reduced GFR of
Risk = 25%
Injury = 50%
Failure = 75%
Loss = 100%
what is the normal Cr?
what is the minimum urine output ?
what are indications of acute dialysis ? AEIOU
refractory pulmonary oedema
severe metabolic acidosis
how does urea affect bleeding?
impairs haemostasis so increases risk of bleeding