You Gotta Be Kidney Me
What part of the nephron filters blood plasma?
What is:The glomerulus inside Bowman’s capsule
What does “RIFLE” stand for
What is:Risk, Injury, Failure, Loss, End-stage renal disease
In which phase of AKI is urine output <400 mL/day?
What is:Oliguric (maintenance) phase
Why do we record I&O so precisely in AKI?
What is: reflects kidney function and fluid balance
What is the most common early sign of kidney cancer?
What is: Hematuria
How much cardiac output do the kidneys receive?
What is:About 20–25% of total cardiac output
What lab values define “Injury” in RIFLE?
What is:Serum creatinine
What’s the main danger during the diuretic phase?
What is:Dehydration and electrolyte loss
1 kg of weight gain equals how much fluid?
What is:1 liter
Why do we never clamp a nephrostomy tube without orders?
What is: cause backflow and kidney damage
Which hormone regulates RBC production and is made by the kidneys?
What is:Erythropoietin
True or False: AKI can be prerenal, intrarenal, or postrenal.
What is:True
A patient produces 5 L of urine in 24 hours — which AKI phase is this?
What is:Diuretic (recovery) phase
What’s the first priority in treating hyperkalemia?
What is: Protect the heart with calcium gluconate (C-BIG-K-DROP!)
Name one interprofessional team member essential for post-nephrectomy recovery?
What is: Nephrology, oncology, dietitian, physical therapy
What’s the normal daily urine output in mL?
What is:1,500–2,000 mL/day
What is the most common cause of prerenal AKI?
What is:Hypovolemia (dehydration or hemorrhage)
Name one electrolyte abnormality common in the oliguric phase.
What is:Hyperkalemia or hyponatremia
Which fluids are preferred for resuscitation in prerenal AKI?
What is: Balanced crystalloids (LR or Plasma-Lyte)
Name one home/community resource for patients with kidney disease.
What is: National Kidney Foundation, American Cancer Society, home health nurse
Name one thing that should never cross the glomerular filtration barrier.
What is:Red blood cells or plasma proteins
Within how many hours should an obstruction be relieved to prevent permanent damage?
What is:Within 48 hours
What lab trend indicates recovery?
What is:Decreasing BUN and creatinine, improving GFR
Name two nephrotoxic medications to avoid.
What is: NSAIDs, aminoglycosides, or ACE inhibitors
Name one key patient teaching after AKI recovery?
What is:Avoid nephrotoxins, maintain hydration, monitor labs and BP regularly