Acute kidney injury: Difference between revisions
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==Definitions== | ==Definitions== | ||
ARF: Recent (over hours to days) decline in renal function | ARF: Recent (over hours to days) decline in renal function | ||
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Uremia: Clinical syndrome resulting from the adverse effects of renal failure on other organ systems eg cardiovascular, central nervous, GI, heme, immunologic | Uremia: Clinical syndrome resulting from the adverse effects of renal failure on other organ systems eg cardiovascular, central nervous, GI, heme, immunologic | ||
==Etiology== | ==Etiology== | ||
#Prerenal | |||
## BUN/Cr ratio > 20 | |||
Prerenal | ## FeNa < 1% | ||
## FeUN <35% | |||
#Intrarenal | |||
## FeNa <>1% | |||
## FeUN >50% | |||
Intrarenal | #Post-obstructive | ||
Post-obstructive | |||
==Work-up== | ==Work-up== | ||
#Urinalysis | |||
#Urine sodium, creatinine, urea (for those on diuretics) | |||
Urinalysis | #Foley | ||
Urine sodium, creatinine, urea (for those on diuretics) | |||
Foley | |||
==Disposition== | ==Disposition== | ||
Admit | Admit | ||
==See Also== | ==See Also== | ||
FEN: Hyperkalemia | FEN: Hyperkalemia | ||
[[Category:GU]] | [[Category:GU]] | ||
Revision as of 12:27, 14 March 2011
Definitions
ARF: Recent (over hours to days) decline in renal function
Oliguria: UO < 400cc/day
Anuria: UO < 100cc/day
Azotemia: Elevation in BUN
Uremia: Clinical syndrome resulting from the adverse effects of renal failure on other organ systems eg cardiovascular, central nervous, GI, heme, immunologic
Etiology
- Prerenal
- BUN/Cr ratio > 20
- FeNa < 1%
- FeUN <35%
- Intrarenal
- FeNa <>1%
- FeUN >50%
- Post-obstructive
Work-up
- Urinalysis
- Urine sodium, creatinine, urea (for those on diuretics)
- Foley
Disposition
Admit
See Also
FEN: Hyperkalemia
