VME III Exam 2- Management of AKI and Lepto with verified answers 2025/2026

VME III Exam 2- Management of AKI
and Lepto with verified answers
2025/2026

what is our approach to treating AKI? - correct answer ✔✔-fluid therapy

-nutritional support

-addressing complications: anemia, hypertension, hyperkalemia, metabolic acidosis

-ureteral obstruction

-indications for hemodialysis

-leptospirosis



what is the first step in developing a fluid plan? - correct answer ✔✔what kind of patient are
you treating?

-pre-renal

-CKD

-AKI

-indeterminate

-acute fluid losses/shock/stabilization



what is your estimate of urine output?



what is the goal of my fluid plan?



what is anuria? - correct answer ✔✔<0.05ml/kg/hr of urine

, what is oliguria? - correct answer ✔✔<0.5ml/kg/hr of urine



what is relative oliguria? - correct answer ✔✔lower than expected



what is nonoliguria? - correct answer ✔✔0.5-2ml/kg/hr of urine



what is polyuria? - correct answer ✔✔>2 ml/kg/hr



what are some different goals we may have for our fluid plan? - correct answer ✔✔-restore
circulating volume

-maintain intravascular volume

-remove excess fluid



what should total fluids account for? - correct answer ✔✔maintenance + deficit + ongoing
losses



how do we figure out how much fluid we need to correct dehydration? - correct answer ✔✔%
dehydration x BW (kg) x 1000= ml, then choose an amount of time to give it over and divide =
ml/hr



what are the different formulas for maintenance fluids for dogs? - correct answer ✔✔-50-60
ml/kg/day

-140 x body weight (^0.75)-> more often used, especially if a larger dog



what are the different formulas for maintenance fluids for cats? - correct answer ✔✔-40-50
ml/kg/day

-80x BW(^0.75)