KIDNEY DISEASE
Risk Factors
o Age, >75
o DM
o Pre-existing kidney disease
o Hypertension, CVD, Heart Failure
o Hepatic disease
o Medications (NSAIDS, ACE/ARB, Mycins), Polypharmacy
o Undergoing procedure with contrast or surgery
Causes
o Pre-renal
o Volume depletion
o Medications (ACE/ARB, NSAIDS, cyclosporine)
o Systemic vasodilation
o Intra-renal
o Glomerulonephritis, infections
o medications
o Post-renal
o Obstruction – prostate hypertrophy, stones
“hallmark clinical signs”
o Creatinine
o GFR
o Protein in urine (microscopy)
Acute Kidney Injury (AKI)
- Abrupt (within 48 hours)
- Reduction in kidney function based on an elevation in serum creatinine level,
- A reduction in urine output,
- the need for renal replacement therapy (dialysis), or a combination of these factors
Diagnosing
§ CBC
§ CMP - Creatinine
§ UA - Urine electrolytes
§ Renal ultrasound
§ generally, should be hospitalized unless the condition is mild and clearly resulting from
an easily reversible cause.
§ Discontinue or treat causative agents
This Monitorbyelectrolytes
§ study source was downloaded 100000881663784 from CourseHero.com on 08-17-2024 09:55:48 GMT -05:00
§ Refer to nephrologist
https://www.coursehero.com/file/160700161/Final-examdocx/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YourAssignmentHandlers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.