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20 Cards in this Set
- Front
- Back
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Urine is not concentrated, but kidney damage is present in what type of kidney failure?
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Intrinsic
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Characterized by medication-induced (ACE, ARBS, NSAIDS, etc), concentrated urine
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Functional Kidney failure
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Urine output classification:
Anuric Oliguric Nonoliguric |
Anuric = 0 50 ml/day
Oliguric = 51 - 500 ml/day Nonoliguric = > 500 ml/day |
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Treatment of established intrinsic AKI?
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Fluid management
- give loop diuretics - dopamine therapy (not really recommended) Acidosis - Sodium bicarb - dialysis |
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Most common drug - induced kidney disease in an inpatient setting
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Acute Tubular Necrosis (ATN)
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Treatment of Aminoglycoside nephrotoxicity
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- hydration
- Used extended-interval once daily dosing |
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Prevention of Radio-Contrast nephroptoxicity
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Acetylcystine
Ascorbic Acid (not much study on it) |
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Prevention of Amphotericin B nephrotoxicity
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- Use liposomal formulation
- Hydration |
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Prevention of cisplatin and carboplatin nephrotoxicity
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Afosfotine
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Prevention of NSAID - induced nephrotoxicity
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- question the necessity of the drug
- Use Sulindac (less aggressive on the kidney than NSAIDS) |
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Prevention of Cyclosporine and tacrolimus - induced Kidney failure
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- Use of lower doses of each
- Use of CCBs |
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Stages of CKD
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Stage 1: > 90 ml/min
Stage 2: 60-89 ml/min Stage 3: 30-59 ml/min Stage 4: 15-29 ml/min Stage 5 (kidney failure): < 15 ml/min |
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Treatment of Diabetic Nephropathy
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- Initiation of an ACE or ARB
- Intensive blood glucose control - protein restriction |
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Indications for Renal Replacement therapy
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A - Acidosis
E - electrolytes imbalance I - Intoxication (Ethylene Glycol, Lithium, etc.) O - Fluid Overload U - Uremia |
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What is the best and easiest method for access for hemodialysis patients?
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Arteriovenous fistula
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What type of access for hemodialysis is used if a permanent access is not available?
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Catheters
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Treatment in Anemia in CKD
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- Epoetin
- Darbepoetin - |
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What is the goal when treating Anemia?
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- Hgb > 11 g/dl but no greater than 13 g/dL
- Treat when it drops lower than 10 |
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Which formulation of Iron therapy requires a test dose?
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Iron Dextrose
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What is the standard dose of iron to give patients that are on dialysis?
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1000 mg
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