Disorders
AKI clinical presentation - ANS-fatigue, weight loss, anorexia, nocturia, pruritis, sleep
disturbance
Thirst, decrease U.O, dizzy, edema, HTN
Intrinsic Failure= hematuria, edema, HTN
Post renal= urgency, frequency hesitancy, flank ache, hematuria
AKI Diagnositics - ANS-Serum BUN/ Creatinine
CT abdomen without contrast
Bladder experiment
AKI RIFLE CLASS E - ANS-Complete lack of kidney fxn > 3 months
AKI RIFLE CLASS F - ANS-Failure
growth in SCr x 3 or decrease in GFR > 75%
U.O. < 0.3mL/kg/hr x 24hrs
AKI RIFLE CLASS I - ANS-INJURY
increase in SCr x 3 or decrease in GFR > 50%
U.O. < 0.5mL/kg/hr x 12hrs
AKI RIFLE CLASS L - ANS-LOSS
complete loss of kidney function > 4 weeks
AKI RIFLE CLASS R - ANS-RISK
growth in SCr x 1.Five or decrease in GFR > 25%
U.O. < 0.5mL/kg/hr x 6hrs
AKI treatment - ANS-Treat underlying cause
Prerenal= tx circulating volume
Postrenal = Remove obstruction
BPH - ANS-enlargement of the prostate gland usu in males greater than 50
BPH diagnostics - ANS-PSA >four and will increase with age. MRI prostate, transrectal
ultrasound if palpable nodule or accelerated PSA