HELLO KIDNEY!
Most common cause of hospital-acquired AKI
What is ATN?
The most preferred diagnostic criteria used for defining Acute Kidney Injury was created by this organization
KDIGO (Kidney Disease: Improving Global Outcomes)
Recommended treatment for AKI with volume depletion
What are IV Fluids?
Preferred imaging modality to detect hydronephrosis
What is a renal ultrasound?
This type of injury occurs when there is damage within the kidney
What is intrinsic injury?
FEurea may be more reliable than FENa in patients taking these medications
What are diuretics?
UOP <0.5 ml/kg/h for 6-12h
What is Stage 1?
Treatment of AKI due to heart failure
What are afterload reducing agents and diuretics?
Order this test if you suspect pyelonephritis
What is a urinalysis and/or urine culture?
Hydronephrosis is seen with this type of nephropathy
What is obstructive nephropathy (post-renal)?
This is the mechanism by which NSAIDs damage the kidneys
What is by constricting the afferent arteriole?
Serum Cr 2.0-2.9 times baseline
What is Stage 2?
Stage 3 AKI typically is a 3-fold increase in serum creatinine from baseline and typically requires this intervention
What is Renal Replacement Therapy?
You may want to place a consult for this procedure if you suspect parenchymal kidney disease
What is a renal biopsy?
Immunosuppressive therapy is used to treat this cause of AKI
What is acute glomerulonephritis?
AKI occurs in ~20% of hospitalized patients. These two factors make patients more susceptible to AKI
What are older age and pre-existing CKD?
A 2.0-fold increase in serum [Cr] reflects a decrease in eGFR by this much (%)
What is 57%?
Acidosis, electrolyte abnormalities, intoxications, overload, uremia
What are indications for emergent dialysis?
Workup of AKI should include measurement of these electrolytes that are not included in a CMP
What are Phosphorus and Magnesium?
AKI due to renal infarction is associated with these symptoms
What are flank pain and abrupt onset of severe hypertension?
Losing this in the urine is a marker of glomerular damage and occurs in most parenchymal kidney diseases other than ATN
What is Albumin?
Urine output for Stage 3 AKI
What is <0.3 mg/kg/h, or anuria for >=12h?
Generic name for Kayexalate, a treatment for hyperkalemia
What is sodium polystyrene sulfonate?
If a patient with CKD4 needs hemodynamic monitoring, you should avoid placement of these catheters to prevent venous stenosis that may preclude later vascular access for hemoydialysis
What are subclavian vein catheters (or PICC)?
These drugs are given to patients with UGIB or PUD, but watch out...they can cause interstitial nephritis
What are Proton-Pump Inhibitors?