PBSN 527 Lecture 10

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

What are common complications associated with acute kidney injury?

  • Increased appetite
  • Insulin resistance
  • Improved kidney function
  • Fluid overload (correct)

Which of the following factors can contribute to acute kidney injury?

  • Dehydration (correct)
  • High protein diet
  • Increased fluid intake
  • Regular exercise

How are the various types of acute kidney injury classified?

  • According to geographical location
  • By the underlying cause (correct)
  • Based solely on symptoms
  • Based on severity only

What is a commonly recognized medication-related cause of acute kidney injury?

<p>Antibiotics like aminoglycosides (C)</p> Signup and view all the answers

Which definition correctly describes acute kidney injury?

<p>Rapid decrease in kidney function over hours to days (A)</p> Signup and view all the answers

What should be included in the management approach for acute kidney injury?

<p>Monitoring electrolyte imbalances (A)</p> Signup and view all the answers

What role do risk factors play in the prevention of acute kidney injury?

<p>They help identify at-risk individuals for targeted interventions (B)</p> Signup and view all the answers

In terms of epidemiology, which aspect is crucial when assessing acute kidney injury?

<p>Prevalence and outcome in different populations (A)</p> Signup and view all the answers

Which of the following is NOT an indicator for decreased renal function?

<p>Decreased blood creatinine (A)</p> Signup and view all the answers

What is the major cause of acute tubular necrosis (ATN) other than ischemic injury?

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

What is the best treatment for patients with acute tubular necrosis (ATN)?

<p>Supportive care (A)</p> Signup and view all the answers

Which of the following is NOT a cause of pre-renal AKI?

<p>Tubular necrosis (D)</p> Signup and view all the answers

A high urine specific gravity suggests which type of AKI?

<p>Pre-renal (B)</p> Signup and view all the answers

What drives filtration in the nephron?

<p>Glomerular capillary pressure (A)</p> Signup and view all the answers

What is the approximate renal blood flow in ml/min?

<p>1276 ml/min (C)</p> Signup and view all the answers

Which of the following statements about filtration fraction is false?

<p>Filtration fraction is consistent regardless of renal conditions (C)</p> Signup and view all the answers

What is a key characteristic of Acute Kidney Injury (AKI)?

<p>Abrupt decline in renal function (A)</p> Signup and view all the answers

How is a decrease in estimated GFR significant for diagnosing AKI?

<p>It shows a decrease of 25% or greater (A)</p> Signup and view all the answers

What urine output defines oliguria in AKI?

<p>Less than 500 mL/day (C)</p> Signup and view all the answers

Which of the following is NOT a required diagnostic criterion for AKI according to AKIN?

<p>An increase in baseline SCr by 25% or more (C)</p> Signup and view all the answers

What is a possible outcome associated with non-oliguria?

<p>Better outcomes (D)</p> Signup and view all the answers

What type of acid-base imbalance is commonly associated with AKI?

<p>Both alkalosis and acidosis (C)</p> Signup and view all the answers

In patients with chronic kidney disease (CKD), how is an increase in SCr defined for diagnosing AKI?

<p>Increase of 1 mg/dL or more (C)</p> Signup and view all the answers

What is considered a normal urine output for adults?

<p>1 mL/kg/hour (B)</p> Signup and view all the answers

What is a common method of estimating GFR in clinical practice?

<p>Estimating creatinine excretion (A)</p> Signup and view all the answers

What is the equivalent of a GFR of 125 ml/min in liters of filtrate formed per day?

<p>180L (C)</p> Signup and view all the answers

Which of the following could lead to faster progression of renal failure?

<p>Poorly maintained hypertension (A)</p> Signup and view all the answers

Which class of antihypertensive agents is known to decrease renal failure progression in non-diabetic patients?

<p>ACE inhibitors (D)</p> Signup and view all the answers

Which condition corresponds to the following electrolyte concentration: Hypokalemia?

<p>K+ 3.5 mEq/L (B)</p> Signup and view all the answers

Furosemide and other loop diuretics primarily act at which segment of the nephron?

<p>Thick ascending limb of loop of Henle (C)</p> Signup and view all the answers

Which of the following drugs is primarily used to modify renal function at the Thick ascending limb?

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

Which of the following electrolyte disorders manifests with a sodium level of 145 mEq/L?

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

What is the primary mechanism of action of mannitol in the treatment of renal conditions?

<p>Increases osmotic pressure of glomerular filtrate (D)</p> Signup and view all the answers

Which of the following is NOT an example of an oral thiazide diuretic?

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

What is the goal of using loop diuretics in the context of preventing acute kidney injury (AKI)?

<p>To increase renal blood flow and urine output (D)</p> Signup and view all the answers

Which diuretic is considered most commonly used for treating acute kidney injury?

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

What is a significant risk associated with the use of mannitol in treatment?

<p>Acute Kidney Injury (AKI) (B)</p> Signup and view all the answers

What should be targeted for urine output to ensure adequate renal function?

<p>0.5 mL/kg/hr (C)</p> Signup and view all the answers

What role does N-acetylcysteine (NAC) play in preventing acute kidney injury?

<p>It helps in preventing contrast-induced nephropathy. (C)</p> Signup and view all the answers

Which of the following strategies is advised as a nonpharmacologic therapy for preventing acute kidney injury?

<p>Discontinuing offending agents (D)</p> Signup and view all the answers

Which of the following statements about potassium-sparing diuretics is FALSE?

<p>They are primarily used for fluid overload. (C)</p> Signup and view all the answers

What is the recommended dosage for mannitol administration?

<p>12.5-25 grams IV over 3-5 minutes (A)</p> Signup and view all the answers

What is a primary goal in the management of patients with acute kidney injury?

<p>Maintain appropriate blood pressure (D)</p> Signup and view all the answers

What is one of the main effects of loop diuretics in the context of fluid overload?

<p>Assist with managing fluid overload (C)</p> Signup and view all the answers

During pharmacologic therapy for AKI, which solution is recommended for ensuring adequate hydration?

<p>Isotonic normal saline (D)</p> Signup and view all the answers

Which of the following diuretics is incorrectly matched?

<p>Chlorothiazide - Loop diuretic (A)</p> Signup and view all the answers

Flashcards are hidden until you start studying

Related Documents

Use Quizgecko on...
Browser
Browser