Update | 100% Correct - Galen College of Nursing |
High Yield Solution Pack
Results from a decreased or reduced perfusion with a MAP of <65 mm Hg -✓✓Prerenal
Occurs when there is damage to the tissue of the kidneys including glomeruli, nephrons
or tubules -✓✓Intrarenal
Caused by obstruction of urine flow -✓✓Postrenal
BUN & creatinine values for Acute kidney injury -✓✓Elevated BUN, Elevated creatinine
Acute injury treatment -✓✓Diuretics & renal replacement therapy
Act early to avoid what? -✓✓hypovolemia
Acute Kidney Injury s/s -✓✓brief periods of oliguria (<0.5ml/kg/hr for 2 or more hours)
S/S fluid overload -✓✓pulmonary crackles
Dependent generalized edema
Decreased oxygenation
Confusion
Increased RR
Dyspnea
S/S decreased blood volume -✓✓MAP <65
Tachycardia
Thready peripheral pulses
Decreasing cognition
Priority nursing intervention -✓✓PREVENT HYPOVOLEMIA
Maintain normal fluid balance
Reduce exposure to nephrotoxic agentd
Priority nursing intervention -✓✓Assess kidney function before use of contrast (I&O)
Provide adequate hydration
IV fluids may be goven
Desired outcome for nursing intervention for AKI -✓✓150 ml/hr for 6 hours after IV
contrast
Hemoglobin -✓✓12-18 g/dL