AKI

Prerenal AKI physical exam findings
- VITAL SIGNS: Orthostatic hypotension (blood pressure decreases upon standing secondary to volume depletion)
- SKIN: Tenting (volume depletion), edema (volume overload)
- HEENT: Elevated JVP (volume overload)
- HEART: Abnormal heart sounds (heart failure - volume overload)
- LUNGS: Rales (crackles in lungs due to fluid accumulation)
- ABDOMEN: Ascites (fluid accumulation in the abdominal cavity secondary to liver failure)
Intrinsic AKI physical exam findings
- VITAL SIGNS: fever (possible infection)
- SKIN: Rash (allergic reaction)
- HEART: new or increased heart murmur (infection of the heart - endocarditis)
Postrenal AKI physical exam findings
- ABDOMEN: bladder distention (sign of obstruction)
- GENITOURINARY: prostate enlargement (prostatic hypertrophy or cancer)
- GYNECOLOGIC: abnormal exam (urethral obstruction or cervical cancer)
Drugs that may cause/exacerbate AKI

ACE inhibitors, ARBs, NSAIDs, contrast dye
drugs with a sulfonamide group
- CA inhibitors: acetazolamide
- Loop diuretics: furosemide, torsemide, bumetanide
- Thiazide diuretics: ALL

Author

capnhue

54924

Card Set

AKI

Description

AKI

Updated

2010-12-11T06:57:22Z

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