Page
Page
Page
1 of
1 of
1710/13/2026,
1 of
1710/13/2026,
1710/13/2026,
1:58:15
1:58:15
1:58:15
AMNSG4330
AMNSG4330
AMNSG4330
- AKI
- AKI
-and
AKI
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$
(&*$
(&*$
**F**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
NSG4330
NSG4330 -
- AKI and CKD AKI and CKD
Study online at https://quizlet.com/_fp2yxs
1. What is kidney dis- Partial or Complete impairment of kidney function
ease?
2. Is kidney injury re- Acute kidney injury ranges from mild to severe. If severe, ongoing and not
versible? treated, it can be fatal. But it also can be reversed if caught early!
3. What is the definition Abrupt decline in kidney function. There is a Rise in serum Cr or decrease in
of acute renal fail- urine output or BOTH
ure?
4. What is a urometer? an attachment to a catheter bag that is graduated so you can measure urine
every hour in small amounts
5. What is azotemia Increase in nitrogenous waste products in the blood; measured with blood
and how is it mea- BUN and Cr concentrations
sured?
6. Break down the RIFL Risk , Injury, Failure, Loss
criteria
7. RIFL: Risk? Increased Cr x1.5 or GFR decrease >25%
UO <0.5mL/kg/hr x6hr
8. RIFL: Injury? Increased Cr x2 or GFR decrease >50%
UO <0.5mL/kg/hr x12hr
/2026,
Page
3:14:27
Page
1 of 1710/13/2026,
1AMPage
of 1710/13/2026,
1 of 1710/13/2026,
1:58:15
1:58:15
AMNSG4330
AMNSG4330
1:58:15 -AMNSG4330
AKI-and
AKI CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and -CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
AKI and CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ (&*$
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORW
, Page
Page
Page
2 of
2 of
1710/13/2026,
2 of
1710/13/2026,
1710/13/2026,
1:58:15
1:58:15
1:58:15
AMNSG4330
AMNSG4330
AMNSG4330
- AKI
- AKI
-and
AKI
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$
(&*$
(&*$
**F**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
NSG4330
NSG4330 -
- AKI and CKD AKI and CKD
Study online at https://quizlet.com/_fp2yxs
9. RIFL: Failure? Increased Cr x3 or GFR decrease >75% or Cr >4mg per 100ml or <0.5mg per
100ml day
UO <0.3ml/kg/hr x24hr or anuria x12hr
10. RIFL: Loss? Persistent AKI = Complete loss of renal function >4 wks
11. What constitues pre- BEFORE the kidney: heart and vessels to the kidney
renal AKI?
Decreased blood flow causing decreased perfusion
Renal tubular and glomerular function is preserved, GFR is decreased
12. What are 4 causes Hypovolemia
for decreased perfu- Blockage
sion in prerenal AKI? Systemic dilation
Decrease CO
13. Aside from dehydra- Third spacing
tion, what are some Dehydration
other reasons a pa- GI losses
tient could be hypov- Overuse of diuretics
olemic? Hemorrhage
/2026,
Page
3:14:27
Page
2 of 1710/13/2026,
2AMPage
of 1710/13/2026,
2 of 1710/13/2026,
1:58:15
1:58:15
AMNSG4330
AMNSG4330
1:58:15 -AMNSG4330
AKI-and
AKI CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and -CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
AKI and CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ (&*$
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORW
, Page
Page
Page
3 of
3 of
1710/13/2026,
3 of
1710/13/2026,
1710/13/2026,
1:58:15
1:58:15
1:58:15
AMNSG4330
AMNSG4330
AMNSG4330
- AKI
- AKI
-and
AKI
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$
(&*$
(&*$
**F**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
NSG4330
NSG4330 -
- AKI and CKD AKI and CKD
Study online at https://quizlet.com/_fp2yxs
14. What are two ways to Thrombus
describe a blockage? Plaque
15. What are some ex- Septic shock
amples of conditions Liver failure
causing systemic di-
lation?
16. What constitues in- DIRECT damage to renal parenchyma (tissue) resulting in impaired nephron
trarenal AKI? function
Damage to the kidneys: inflammation or necrosis
17. What are ways the Usually due to prolonged ischemia or nephrotoxic agents, Hgb from he-
kidneys can be dam- molyzed RBCs or myoglobin from necrotic muscle cells
aged?
OTHER: acute glumerulonephritis or systemic lupus
18. What are exam- aminoglycosides, antifungals (amphotericin B), beta-lactams
ples of nephrotoxic (cephalosporins, penicillins), quinolones (ciprofloxacin), rifampin (Rifadin),
agents? and vancomycin (Vancocin)
19. What constitues
postrenal AKI?
/2026,
Page
3:14:27
Page
3 of 1710/13/2026,
3AMPage
of 1710/13/2026,
3 of 1710/13/2026,
1:58:15
1:58:15
AMNSG4330
AMNSG4330
1:58:15 -AMNSG4330
AKI-and
AKI CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and -CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
AKI and CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ (&*$
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORW
Page
Page
1 of
1 of
1710/13/2026,
1 of
1710/13/2026,
1710/13/2026,
1:58:15
1:58:15
1:58:15
AMNSG4330
AMNSG4330
AMNSG4330
- AKI
- AKI
-and
AKI
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$
(&*$
(&*$
**F**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
NSG4330
NSG4330 -
- AKI and CKD AKI and CKD
Study online at https://quizlet.com/_fp2yxs
1. What is kidney dis- Partial or Complete impairment of kidney function
ease?
2. Is kidney injury re- Acute kidney injury ranges from mild to severe. If severe, ongoing and not
versible? treated, it can be fatal. But it also can be reversed if caught early!
3. What is the definition Abrupt decline in kidney function. There is a Rise in serum Cr or decrease in
of acute renal fail- urine output or BOTH
ure?
4. What is a urometer? an attachment to a catheter bag that is graduated so you can measure urine
every hour in small amounts
5. What is azotemia Increase in nitrogenous waste products in the blood; measured with blood
and how is it mea- BUN and Cr concentrations
sured?
6. Break down the RIFL Risk , Injury, Failure, Loss
criteria
7. RIFL: Risk? Increased Cr x1.5 or GFR decrease >25%
UO <0.5mL/kg/hr x6hr
8. RIFL: Injury? Increased Cr x2 or GFR decrease >50%
UO <0.5mL/kg/hr x12hr
/2026,
Page
3:14:27
Page
1 of 1710/13/2026,
1AMPage
of 1710/13/2026,
1 of 1710/13/2026,
1:58:15
1:58:15
AMNSG4330
AMNSG4330
1:58:15 -AMNSG4330
AKI-and
AKI CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and -CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
AKI and CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ (&*$
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORW
, Page
Page
Page
2 of
2 of
1710/13/2026,
2 of
1710/13/2026,
1710/13/2026,
1:58:15
1:58:15
1:58:15
AMNSG4330
AMNSG4330
AMNSG4330
- AKI
- AKI
-and
AKI
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$
(&*$
(&*$
**F**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
NSG4330
NSG4330 -
- AKI and CKD AKI and CKD
Study online at https://quizlet.com/_fp2yxs
9. RIFL: Failure? Increased Cr x3 or GFR decrease >75% or Cr >4mg per 100ml or <0.5mg per
100ml day
UO <0.3ml/kg/hr x24hr or anuria x12hr
10. RIFL: Loss? Persistent AKI = Complete loss of renal function >4 wks
11. What constitues pre- BEFORE the kidney: heart and vessels to the kidney
renal AKI?
Decreased blood flow causing decreased perfusion
Renal tubular and glomerular function is preserved, GFR is decreased
12. What are 4 causes Hypovolemia
for decreased perfu- Blockage
sion in prerenal AKI? Systemic dilation
Decrease CO
13. Aside from dehydra- Third spacing
tion, what are some Dehydration
other reasons a pa- GI losses
tient could be hypov- Overuse of diuretics
olemic? Hemorrhage
/2026,
Page
3:14:27
Page
2 of 1710/13/2026,
2AMPage
of 1710/13/2026,
2 of 1710/13/2026,
1:58:15
1:58:15
AMNSG4330
AMNSG4330
1:58:15 -AMNSG4330
AKI-and
AKI CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and -CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
AKI and CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ (&*$
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORW
, Page
Page
Page
3 of
3 of
1710/13/2026,
3 of
1710/13/2026,
1710/13/2026,
1:58:15
1:58:15
1:58:15
AMNSG4330
AMNSG4330
AMNSG4330
- AKI
- AKI
-and
AKI
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$
(&*$
(&*$
**F**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
NSG4330
NSG4330 -
- AKI and CKD AKI and CKD
Study online at https://quizlet.com/_fp2yxs
14. What are two ways to Thrombus
describe a blockage? Plaque
15. What are some ex- Septic shock
amples of conditions Liver failure
causing systemic di-
lation?
16. What constitues in- DIRECT damage to renal parenchyma (tissue) resulting in impaired nephron
trarenal AKI? function
Damage to the kidneys: inflammation or necrosis
17. What are ways the Usually due to prolonged ischemia or nephrotoxic agents, Hgb from he-
kidneys can be dam- molyzed RBCs or myoglobin from necrotic muscle cells
aged?
OTHER: acute glumerulonephritis or systemic lupus
18. What are exam- aminoglycosides, antifungals (amphotericin B), beta-lactams
ples of nephrotoxic (cephalosporins, penicillins), quinolones (ciprofloxacin), rifampin (Rifadin),
agents? and vancomycin (Vancocin)
19. What constitues
postrenal AKI?
/2026,
Page
3:14:27
Page
3 of 1710/13/2026,
3AMPage
of 1710/13/2026,
3 of 1710/13/2026,
1:58:15
1:58:15
AMNSG4330
AMNSG4330
1:58:15 -AMNSG4330
AKI-and
AKI CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
and -CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
AKI and CKD(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ (&*$
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWRORW