11 Questions
What is the definition of acute kidney injury (AKI)?
An increase in serum creatinine of ≥0.3 mg/dL within 48 hours
What is one of the diagnostic criteria proposed by the Acute Kidney Injury Network for the diagnosis of AKI?
An increase in serum creatinine of ≥50% within 48 hours
What are the recommendations for the initial encounter with a patient who develops AKI, especially when associated with oliguria?
Discontinue potentially nephrotoxic drugs
What exceptions are mentioned for a prerenal disorder associated with a high urine sodium?
Ongoing diuretic therapy or chronic renal disease with an obligatory sodium loss in urine
What is the percentage of ICU patients who have some degree of acute renal dysfunction?
70%
What is the percentage of ICU patients who require renal replacement therapy?
5%
Which of the following is a recommendation for the initial encounter with a patient who develops AKI, especially when associated with oliguria?
Adjust the dose of drugs that are excreted in the urine
What is the time frame within which an increase in serum creatinine is considered diagnostic criteria for AKI?
48 hours
Which disorder can be associated with a high urine sodium if there is ongoing diuretic therapy?
Prerenal disorder
What is the minimum percentage increase in serum creatinine within 48 hours considered as diagnostic criteria for AKI?
>50%
What should be done with potentially nephrotoxic drugs for a patient who develops AKI?
Discontinue
Learn about the diagnostic and therapeutic considerations for acute kidney injury (AKI) in critically ill patients, including the definition, prevalence, and requirements for renal replacement therapy.
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