Acute Kidney Injury PDF
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Uploaded by MerryArtDeco
UMF "Iuliu Hațieganu"
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Summary
This document is about acute kidney injury, covering potential causes, presentation, and treatment options. It breaks down acute kidney injury into prerenal, renal, and postrenal causes. The document also discusses various clinical presentations and treatment approaches.
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REMEMBER THE DIFFERENTIAL DIAGNOSIS CLUES BETWEEN ACUTE AND CHRONIC: 1. Personal history 2. Timeline (elevated createnine for >3 mon...
REMEMBER THE DIFFERENTIAL DIAGNOSIS CLUES BETWEEN ACUTE AND CHRONIC: 1. Personal history 2. Timeline (elevated createnine for >3 months=chronic) 3. Ultrasound (chronic kidneys: small, hyperechogen, no differentianon between cortical and medular part, no parenchima) 4. Presence of anemia (normochromic and normocytic due to lack of EPO),and hypocalcemia (no vitamin D) NO estimation of GFR with the fomula CKD-EPI 2009 Anuria (urine output 50% collaps in inspiration 1. TREATMENT Fluids iv/orally depending on the severity Usually, if treated at the right time and correctly, the lesions are reversible and the renal function gets back to normal in 24-48 h When giving fluids we should evaluate: Blood pressure Heart rate Oxygen saturation (avoid congestion and pulmonary edema) and pulmonary auscultation (crackles) Urine output Weight
