You are taking care of Mr. Adams who is being treated with community acquired
pneumonia. His creatinine on admission was 0.7 mg/dL and is now 1.4 mg/dL. I&Os for
the last 24 hours is I = 1950ml, O = 500ml. Patient is receiving IV Vanco, simvastatin,
lisinopril, ibuprofen PRN, and pantoprazole. UA reveals a UTI.
•What do you think is going on? AKI or CKD?
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AKI (intra--> meds and UTI), because of Cr level
HD: Fistula Care
•Protect arm with fistula
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, -No BPs
-No blood draws
-No tourniquets
Your patient suffered severe hemorrhaging following a gunshot wound. Following
surgery for a splenectomy you note that his urine output is 20-22 ml/hour. Describe
your concerns.
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Pre-renal AKI, 480 ml/24 hours
Monitor BUN 7-18, creatine 0.6-12, potassium, calcium, phosphorous
Blood transfusion and fluids
Differentiating Chest Pain
Esophageal Pain
Characteristics
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5-60 minutes; pain with lying down and cold liquids; relieved with antacids,
PPI, H2 agonists, NTG
Cardiac diagram
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, CAD--> stable angina (warning sign for ACS)--> ACS
(MI+unstable angina) --> heart failure
ACS = MI + unstable angina
Intra-Renal Conditions
Acute tubular necrosis (most common)
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-Diabetes
Classifying Heart Failure
Systolic
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reduced EF
Angina medication
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, nitro
Normal ekg image
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Found better image than on the slides
Creatinine clearance (CrCl) is our best measure of
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GFR (blood vs filtered levels)
Pharmacologic Management
Lipids
3. Niacin
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3. Niacin (vitamin B3) may decrease endothelial build-up and reduce
coronary events
pneumonia. His creatinine on admission was 0.7 mg/dL and is now 1.4 mg/dL. I&Os for
the last 24 hours is I = 1950ml, O = 500ml. Patient is receiving IV Vanco, simvastatin,
lisinopril, ibuprofen PRN, and pantoprazole. UA reveals a UTI.
•What do you think is going on? AKI or CKD?
Give this one a try later!
AKI (intra--> meds and UTI), because of Cr level
HD: Fistula Care
•Protect arm with fistula
Give this one a try later!
, -No BPs
-No blood draws
-No tourniquets
Your patient suffered severe hemorrhaging following a gunshot wound. Following
surgery for a splenectomy you note that his urine output is 20-22 ml/hour. Describe
your concerns.
Give this one a try later!
Pre-renal AKI, 480 ml/24 hours
Monitor BUN 7-18, creatine 0.6-12, potassium, calcium, phosphorous
Blood transfusion and fluids
Differentiating Chest Pain
Esophageal Pain
Characteristics
Give this one a try later!
5-60 minutes; pain with lying down and cold liquids; relieved with antacids,
PPI, H2 agonists, NTG
Cardiac diagram
Give this one a try later!
, CAD--> stable angina (warning sign for ACS)--> ACS
(MI+unstable angina) --> heart failure
ACS = MI + unstable angina
Intra-Renal Conditions
Acute tubular necrosis (most common)
Give this one a try later!
-Diabetes
Classifying Heart Failure
Systolic
Give this one a try later!
reduced EF
Angina medication
Give this one a try later!
, nitro
Normal ekg image
Give this one a try later!
Found better image than on the slides
Creatinine clearance (CrCl) is our best measure of
Give this one a try later!
GFR (blood vs filtered levels)
Pharmacologic Management
Lipids
3. Niacin
Give this one a try later!
3. Niacin (vitamin B3) may decrease endothelial build-up and reduce
coronary events
