ICU Acute Kidney Injury Diagnosis

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Questions and Answers

What is the definition of acute kidney injury (AKI)?

  • An increase in serum creatinine of ≥0.3 mg/dL within 48 hours (correct)
  • An increase in serum creatinine of ≥50% within 72 hours
  • An increase in serum creatinine of ≥0.3 mg/dL within 72 hours
  • A decrease 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 (correct)
  • An increase in serum creatinine of ≥0.3 mg/dL within 72 hours
  • A decrease in hourly urine output to 40 mEq/L within 72 hours
  • An increase in serum creatinine of ≥0.4 mg/dL within 48 hours

What are the recommendations for the initial encounter with a patient who develops AKI, especially when associated with oliguria?

  • Increase fluid intake as much as possible
  • Avoid any adjustments in drug doses
  • Discontinue potentially nephrotoxic drugs (correct)
  • Continue potentially nephrotoxic drugs

What exceptions are mentioned for a prerenal disorder associated with a high urine sodium?

<p>Ongoing diuretic therapy or chronic renal disease with an obligatory sodium loss in urine (C)</p> Signup and view all the answers

What is the percentage of ICU patients who have some degree of acute renal dysfunction?

<p>70% (A)</p> Signup and view all the answers

What is the percentage of ICU patients who require renal replacement therapy?

<p>5% (D)</p> Signup and view all the answers

Which of the following is a recommendation for the initial encounter with a patient who develops AKI, especially when associated with oliguria?

<p>Adjust the dose of drugs that are excreted in the urine (C)</p> Signup and view all the answers

What is the time frame within which an increase in serum creatinine is considered diagnostic criteria for AKI?

<p>48 hours (C)</p> Signup and view all the answers

Which disorder can be associated with a high urine sodium if there is ongoing diuretic therapy?

<p>Prerenal disorder (C)</p> Signup and view all the answers

What is the minimum percentage increase in serum creatinine within 48 hours considered as diagnostic criteria for AKI?

<p>&gt;50% (A)</p> Signup and view all the answers

What should be done with potentially nephrotoxic drugs for a patient who develops AKI?

<p>Discontinue (B)</p> Signup and view all the answers

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