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This Concept Map, created with IHMC CmapTools, has information related to: Acute Kidney Injury, Post-Renal Causes Kidney Stones Urethral Stenosis Ureteral Stenosis Prostatic Hypertrophy Tumors Relieve obstruction Acute Kidney Injury, Blood Loss Strenuous Exercise Decreased Cardiac Output Infection Arterial Plaque Deposit Predisposing Factors Pre-Renal Causes Sepsis* Blood Loss Shock/Trauma* Dehydration Heart Failure Hypotension Renal Artery Occlusion, Confusion/Seizures Fluid Retention Electrolyte Imbalance Acid-Base Imbalance Anemia Outcomes End-Stage Renal Disease (ESRD) - rigid diet and fluid restrictions, life-long dialysis or kidney transplant., Confusion/Seizures Fluid Retention Electrolyte Imbalance Acid-Base Imbalance Anemia Outcomes Kidney Recovery - remains at risk for AKI in future., Confusion/Seizures Fluid Retention Electrolyte Imbalance Acid-Base Imbalance Anemia Outcomes Premature Death - AKI has a 40-45% mortality, 70-80% if co-morbidities exist!, Acute Kidney Injury Signs & Symptoms Confusion/Seizures Fluid Retention Electrolyte Imbalance Acid-Base Imbalance Anemia, Genetics/ Prolonged Surgery Drug Sensitivity or Overdose Hypotension/ Hypoxia Infection/ Trauma/ Lupus Predisposing Factors Intrinsic Causes Sepsis* Rhabdomyolysis*/Nephrotoxic Meds* Drug Overdose/ Acute Tubular Necrosis Nephritis/ Polycystic kidney Myeloma, Intrinsic Causes Sepsis* Rhabdomyolysis*/Nephrotoxic Meds* Drug Overdose/ Acute Tubular Necrosis Nephritis/ Polycystic kidney Myeloma Treat or remove cause Acute Kidney Injury, Azotemia Elevated Creatinine Decreased Urine Output Decreased Glomerluar Filtration Rate (GFR) Outcomes Kidney Recovery - remains at risk for AKI in future., Aminoglycosides ACE Inhibitors/ARBs MAO Inhibitors NSAIDs Diuretics Nephrotoxic Medications Intrinsic Causes Sepsis* Rhabdomyolysis*/Nephrotoxic Meds* Drug Overdose/ Acute Tubular Necrosis Nephritis/ Polycystic kidney Myeloma, IV Fluid Bolus: 250ml x2 Stop Nephrotoxic Meds Strict I&O/Daily Weights Renal Ultrasound Daily Labs Antibiotics for Sepsis Early Recognition & Treatment Acute Kidney Injury, Pre-Renal Causes Sepsis* Blood Loss Shock/Trauma* Dehydration Heart Failure Hypotension Renal Artery Occlusion Usually respond to fluid administration Acute Kidney Injury, Confusion/Seizures Fluid Retention Electrolyte Imbalance Acid-Base Imbalance Anemia Outcomes Chronic Kidney Disease (CKD) - decreased kidney function, diet & fluid restrictions., Azotemia Elevated Creatinine Decreased Urine Output Decreased Glomerluar Filtration Rate (GFR) Outcomes Chronic Kidney Disease (CKD) - decreased kidney function, diet & fluid restrictions., Acute Kidney Injury Signs & Symptoms Azotemia Elevated Creatinine Decreased Urine Output Decreased Glomerluar Filtration Rate (GFR), Diabetes Hypo/Hypertension Atherosclerosis Extra-Renal Sepsis Vomiting/Diarrhea Shock Co-Morbities Acute Kidney Injury, Azotemia Elevated Creatinine Decreased Urine Output Decreased Glomerluar Filtration Rate (GFR) Outcomes Premature Death - AKI has a 40-45% mortality, 70-80% if co-morbidities exist!, Azotemia Elevated Creatinine Decreased Urine Output Decreased Glomerluar Filtration Rate (GFR) Outcomes End-Stage Renal Disease (ESRD) - rigid diet and fluid restrictions, life-long dialysis or kidney transplant., Heroin Crack Cocaine Methamphetamine Nephrotoxic Medications Intrinsic Causes Sepsis* Rhabdomyolysis*/Nephrotoxic Meds* Drug Overdose/ Acute Tubular Necrosis Nephritis/ Polycystic kidney Myeloma, Diet High in Calcium or Phosphorus Malignancy Inflammation Older Age Predisposing Factors Post-Renal Causes Kidney Stones Urethral Stenosis Ureteral Stenosis Prostatic Hypertrophy Tumors