NUR265 CORE CONCEPT LEARNING SCRIPT
LEVEL FOUR 2026
◉ AKI in xray dx. Answer: infiltration (fluid in lungs)
◉ AKI ABG results may read. Answer: respiratory alkalosis (spao2
below 88%)
◉ example of pre renal AKI. Answer: dehydration, blood loss,
decreased cardiac output, heart failure; infection; NG suction, sepsis,
V/D
◉ Example of intra renal AKI. Answer: myoglobinuria,BPH, tubular
necrosis, nephrotoxocity; acute polynephtiits, contrast
◉ Example of post renal AKI. Answer: bladder neck obstruction,
bladder cancer; calculi; tumor
◉ Duiretic phase (3rd phase) of AKI. Answer: Nurse should give 3L-
6L per day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
,◉ Best Lab indicator of Kindey function (AKI and CKD). Answer:
creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
◉ Normal urine output per hour. Answer: 30 mL/hr
◉ normal potassium levels. Answer: 3.5-5.0 mEq/L
◉ Normal Sodium levels. Answer: 135-145 mEq/L
◉ Diet for AKI patients. Answer: mod protein
high carb
◉ Complication of AKI. Answer: Preicarditis
◉ Nephrotoxic agents include. Answer: contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
◉ Diet : AKI patient w/ dialysis. Answer: protein 40 g/day
, ◉ diet:AKI patient without dialysis. Answer: protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
◉ Define oliguria. Answer: decreased urine production
400mL/day or less
◉ How many stages of Kidney failure are there?. Answer: 5 stages (
defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
◉ signs of Chronic Kidney Disease. Answer: oliguria, anemia,
azotomia, hyperkalemia
◉ Diet for Chronic kidney disease. Answer: restrict K, restrict NA,
low protein
best food apples
◉ treatment for chronic kidney disease. Answer: hemodialysis and
peritoneal dialysis
LEVEL FOUR 2026
◉ AKI in xray dx. Answer: infiltration (fluid in lungs)
◉ AKI ABG results may read. Answer: respiratory alkalosis (spao2
below 88%)
◉ example of pre renal AKI. Answer: dehydration, blood loss,
decreased cardiac output, heart failure; infection; NG suction, sepsis,
V/D
◉ Example of intra renal AKI. Answer: myoglobinuria,BPH, tubular
necrosis, nephrotoxocity; acute polynephtiits, contrast
◉ Example of post renal AKI. Answer: bladder neck obstruction,
bladder cancer; calculi; tumor
◉ Duiretic phase (3rd phase) of AKI. Answer: Nurse should give 3L-
6L per day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
,◉ Best Lab indicator of Kindey function (AKI and CKD). Answer:
creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
◉ Normal urine output per hour. Answer: 30 mL/hr
◉ normal potassium levels. Answer: 3.5-5.0 mEq/L
◉ Normal Sodium levels. Answer: 135-145 mEq/L
◉ Diet for AKI patients. Answer: mod protein
high carb
◉ Complication of AKI. Answer: Preicarditis
◉ Nephrotoxic agents include. Answer: contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
◉ Diet : AKI patient w/ dialysis. Answer: protein 40 g/day
, ◉ diet:AKI patient without dialysis. Answer: protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
◉ Define oliguria. Answer: decreased urine production
400mL/day or less
◉ How many stages of Kidney failure are there?. Answer: 5 stages (
defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
◉ signs of Chronic Kidney Disease. Answer: oliguria, anemia,
azotomia, hyperkalemia
◉ Diet for Chronic kidney disease. Answer: restrict K, restrict NA,
low protein
best food apples
◉ treatment for chronic kidney disease. Answer: hemodialysis and
peritoneal dialysis
