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  • Presentation
  • Question
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Tags
#nephrology
Question
How do you manage AKI?
Answer
general
  • prevent additional nephrotoxins (drugs, contrast)
  • rx ECF volume status
  • avoid complications
    • ECF volume overload (↓Na intake, ↑ diuretics)
    • avoid ↑K (↓ intake, diuretics, laxatives, shift into ICF)
    • renally dose meds
​pre-renal aki
  • improve hemodynamics
    • ↑ ECF w/ IV fluids
    • ↑ cardiac output
​renal AKI
  • ATN → time
  • AIN → remove offending agent, consider corticosteroids
  • glomerulonephritis → maybe immunosuppresive therapy (urgent)

Tags
#nephrology
Question
How do you manage AKI?
Answer
?

Tags
#nephrology
Question
How do you manage AKI?
Answer
general
  • prevent additional nephrotoxins (drugs, contrast)
  • rx ECF volume status
  • avoid complications
    • ECF volume overload (↓Na intake, ↑ diuretics)
    • avoid ↑K (↓ intake, diuretics, laxatives, shift into ICF)
    • renally dose meds
​pre-renal aki
  • improve hemodynamics
    • ↑ ECF w/ IV fluids
    • ↑ cardiac output
​renal AKI
  • ATN → time
  • AIN → remove offending agent, consider corticosteroids
  • glomerulonephritis → maybe immunosuppresive therapy (urgent)

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