AKI PPT FA17 Student version (1).pptx

AKI PPT FA17 Student version (1).pptx - Acute Kidney...

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Acute Kidney Injury (AKI) Formerly known as Acute Renal Failure (ARF) CONCEPTS MICHELLE VORE MSN, RN
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Acute Kidney Injury (AKI) Pre Renal Reduced Renal Blood Flow Intra Renal Tubular, Interstitial Tissue, or Glomeruli Damage Post Renal Urine Obstruction End Stage Renal Disease
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For the following possible causes of AKI: indicate if they are “A” prerenal, “B” intrarenal, “C” postrenal.
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“Pre” Renal Manifestations Decreased Cardiac Output and Perfusion to Kidneys Hypotension, orthostatic Decreased pulse pressure Tachycardia Decreased UOP leading to oliguria BUN: increased Creatinine: normal
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“Pre” Renal Medical Management: Fluid challenge IV NS 500-1000mL/hr to expand intravascular volume and promote renal perfusion Treat underlying cause Manage complications Prevent CKD
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Intrinsic “Intra” Renal Injury: Clinical Manifestations Renal Oliguria, Anuria Increased urine specific gravity Cardiac HTN
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