AKI Basics
AKI stands for:
What is Acute Kidney Injury
Which lab is most commonly used to assess kidney function?
Creatinine
Name one common nephrotoxic medication.
Which assessment is most important for monitoring kidney perfusion?
Urine output
What does CRRT stand for?
Continuous Renal Replacement Therapy
Which urine output is considered oliguria?
A. <100 mL/hr
B. <50 mL/hr
C. <30 mL/hr
D. <0.5 mL/kg/hr
What is <0.5 mL/kg/hr
A patient's creatinine increased from 0.8 to 1.6 in 24 hours. What should the nurse recognize?
Possible AKI
True or False:
Patients with AKI often require medication dose adjustments.
True
Urine output is 15 mL/hr for three hours. What should the nurse do?
Assess and escalate/provider notification
Which patient is more likely to receive CRRT than intermittent dialysis?
Hemodynamically unstable patient
Name the three major categories of AKI.
What is
Which electrolyte commonly increases during AKI?
Potassium
A provider orders ibuprofen for a patient with worsening AKI. What concern should the nurse have?
NSAIDs can worsen kidney injury.
A bladder scan shows 850 mL. The patient has not voided for 8 hours. What type of AKI may be occurring?
Post-renal
Name one indication for dialysis.
Remember A E I O U
A patient has severe dehydration from vomiting and diarrhea. What type of AKI is most likely?
What is Pre-renal
Why is hyperkalemia dangerous?
Life-threatening cardiac dysrhythmias
What question should a nurse ask before a patient receives contrast dye?
Does the patient have impaired kidney function/AKI?
Which intervention is most appropriate for a dehydrated patient with pre-renal AKI?
Fluid resuscitation
A patient remains severely hyperkalemic despite treatment. What escalation should the nurse anticipate?
Dialysis/CRRT
A patient develops AKI after IV contrast and prolonged hypotension. What intrinsic kidney injury is most likely?
What is Acute Tubular Necrosis (ATN)?
A patient has:
What is the priority concern?
Cardiac arrest/arrhythmias
A septic patient on vancomycin develops rising creatinine levels. What should the nurse monitor closely?
Drug levels and worsening renal function
A patient with AKI develops:
What complication is occurring?
Fluid overload
The Deteriorating Kidney
Patient:
List 3 nursing priorities.