Dka Causing Aki

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Acute kidney injury (also called acute renal failure) nursing NCLEX review lecture on the nursing management, stages, pathophysiology, and causes (prerenal, intrarenal, postrenal). What is Acute Kidney Injury? It is the SUDDEN decrease in renal function that leads to the build up of waste in the blood, fluid overload, and electrolyte imbalances. What are the causes of Acute Kidney Injury? There are three causes, which are based on location. The first is known as prerenal injury and this is an issue with the perfusion to the kidneys that leads to decreased renal function. A second cause is known as intrarenal injury, and this is due to damage to the nephrons of the kidney. Lastly, postrenal injury is due to a blockage located in the urinary tract after the kidney that can extend to the urethra. This is causing the back flow of urine, which increases the pressure and waste in the kidneys. Stages of Acute Kidney Injury: There are four stage of acute kidney injury, which include initiation, oliguric, diuresis, and recovery stage. The initiation stage starts when a cause creates an injury to the kidney and then signs and symptoms start to appear. This leads to the oliguric stages. The patient will void less than 400 mL/day of urine during this stage and will experience increased BUN/creatinine levels, azotemia, hyperkalemia, hypervolemia, increase phosphate and decreased calcium levels along with metabolic acidosis. After this stage the patient can progress to the diuresis stage and this is where the patient will void 3-6 Liters of urine per day due to osmotic diuresis. The patient is at risk for hypokalemia, dehydration, and hypovolemia. The last stage is recovery and the patient's glomerular filtration rate has returned to normal. Therefore, the kidneys are able to maintain normal BUN and creatinine levels, electrolyte, and water levels. Quiz on Acute Kidney Injury: http://www.registerednursern.com/acut... Notes: http://www.registerednursern.com/acut... More NCLEX Renal Lectures: https://www.youtube.com/playlist?list... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... All of our videos in a playlist: https://www.youtube.com/watch?v=pAhHx... Popular Playlists: NCLEX Reviews: https://www.youtube.com/playlist?list... Fluid & Electrolytes: https://www.youtube.com/playlist?list... Nursing Skills: https://www.youtube.com/playlist?list... Nursing School Study Tips: https://www.youtube.com/playlist?list... Nursing School Tips & Questions" https://www.youtube.com/playlist?list... Teaching Tutorials: https://www.youtube.com/playlist?list... Types of Nursing Specialties: https://www.youtube.com/playlist?list... Healthcare Salary Information: https://www.youtube.com/playlist?list... New Nurse Tips: https://www.youtube.com/playlist?list... Nursing Career Help: https://www.youtube.com/playlist?list... EKG Teaching Tutorials: https://www.youtube.com/playlist?list... Dosage & Calculations for Nurses: https://www.youtube.com/playlist?list... Diabetes Health Managment: https://www.youtube.com/playlist?list...

Acute Kidney Injury Differential Diagnoses

Diagnostic Considerations Although acute kidney injury (AKI) is a potentially reversible condition, it can occur in patients with chronic renal failure. Every effort should be made to identify reversibility, even if improvement in renal function is marginal. The best way to identify reversibility is by tracking the rate of deterioration of renal function. If there is an acceleration of the rate at which the patient’s renal function is worsening, the cause should be sought and treated. Differentials to consider in AKI include the following: Urine output in differential diagnosis Changes in urine output generally correlate poorly with changes in the glomerular filtration rate (GFR). Approximately 50-60% of all causes of AKI are nonoliguric. However, the identification of anuria, oliguria, and nonoliguria may be useful in the differential diagnosis of AKI, as follows: Anuria (< 100 mL/day) - Urinary tract obstruction, renal artery obstruction, rapidly progressive glomerulonephritis, bilateral diffuse renal cortical necrosis Nonoliguria (>400 mL/day) - Acute interstitial nephritis, acute glomerulonephritis, partial obstructive nephropathy, nephrotoxic and ischemic ATN, radiocontrast- Continue reading >>

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  1. KaraJane

    Hey everyone!
    After being paleo for 2 years I decided that going keto with super high fat and low carbs might resolve some issues still lingering around for me. I have ben following Dave's ketosis recommendations, yet experience some weird side effects.
    I am only a week and a half in, and I know that the early stages of keto can cause some funky stuff for people. But recently my lips, throat and tongue become SUPER itchy when I eat. My lips swell up and feel really tingly, and the roof of my mouth itches all the time. Along with that, I have dry mouth and low energy.
    Anyone know what all of this could be due to?? Especially the mouth thing. I know energy levels can be due to a lack in potassium, magnesium, electrolytes or amino acids. But I have no idea what could be causing this weird mouth stuff

  2. daz

    a lack of mucus production perhaps ?

  3. KaraJane

    That is definitely interesting! I am staying super low carb. Maybe I should increase it a little.

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Understand acute kidney injury (formerly called acute renal failure) with this clear explanation from Dr. Seheult of http://www.medcram.com. This series covers causes, symptoms, diagnosis and treatment of acute renal failure. The difference between pre-renal and post-renal failure, and the BUN Creatinine ratio are also illustrated. This video 1 of 3 on acute kidney injury. Speaker: Roger Seheult, MD Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. Co-founder of http://www.medcram.com MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: https://www.youtube.com/subscription_... Recommended Audience: Health care professionals and medical students including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram: Complete Video library: https://www.youtube.com/c/medcram Subscribe: https://www.youtube.com/subscription_... Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.

Diabetic Ketoacidosis Associated With Acute Kidney Injury

A new Journal of American Medical Association article has shown that there is a high rate of occurrence of acute kidney injury (AKI) in children hospitalized with a diagnosis diabetic ketoacidosis (DKA). Acute kidney injury is one of the most common causes of renal injury that can arise from several aetiologies. Based on predisposing factors, the causes may be categorized into 3 classes: pre-renal, renal or post-renal. In cases of volume depletion, like that which occurs in diabetic ketoacidosis (a complication of diabetes where there is high ketone production), perfusion to kidneys is impaired and that is when the kidneys start to lose their functioning. Since acute kidney injury in children is associated with a poor short term and long term outcome, in a new JAMA article, and for the first time, researchers have evaluated the rate of acute kidney injury (AKI) in pediatric patients who were hospitalized for the diabetic ketoacidosis. This study was conducted at the British Columbia Children’s Hospital from 2008 through 2013. 165 children aged 18 years or younger with type 1 diabetes, DKA and with complete medical records available for data analysis were included. The primary out Continue reading >>

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  1. Shanell08

    High Blood Sugars with No Ketones

    So my boyfriend has had Type 1 Diabetes for over 10 years now and while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks!

  2. hannahtan

    Interesting... perhaps your bf is still producing that tiny bit of insulin which is what that is keeping him from developing into DKA but not enough to regulate his bg?

  3. MarkM

    Originally Posted by Shanell08
    ... while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks! It just means that there is enough circulating insulin for for the body's glucose requirements to be satisfied. Ketones are produced when fat or muscle are broken down. And large amounts of ketones are only produced if there is inadequate insulin for glucose to be used as fuel to keep the body ticking over.

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What is prerenal acute kidney injury? Acute kidney injury (AKI) describes when the kidneys aren't functioning optimally, usually brought about within a few days. Prerenal causes include those in which there's a lack in adequate blood flow to the kidneys. Find more videos at http://osms.it/more. Study better with Osmosis Prime. Retain more of what youre learning, gain a deeper understanding of key concepts, and feel more prepared for your courses and exams. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways and more when you follow us on social: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Osmosis's Vision: Empowering the worlds caregivers with the best learning experience possible.

Incidence And Characteristics Of Acute Kidney Injury In Severe Diabetic Ketoacidosis

Go to: Introduction The incidence of diabetes mellitus is increasing worldwide affecting both types of the disease. The most frequent acute diabetic complications are hyperglycemic crises, namely diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state. Diabetic ketoacidosis results from an absolute insulin deficiency. Classical presentation associates a triad of uncontrolled hyperglycemia, metabolic acidosis and high ketone bodies concentration. Similarly to diabetes, the incidence of DKA increases over time [1], [2]. This may be a life-threatening condition due to severe clinical and biological impairments and treatment associated complications (cerebral edema, acute respiratory distress syndrome, hypokalaemia, hypophosphatemia). However, mortality is low and most of the time, death is related to the precipitating factor [3]–[6]. For this reason, admission of these patients in ICU is still debated. A grading system for severity of DKA was described previously [7]. Patients presenting the most severe grades or common severity criteria were considered for ICU admission. However this grading system is not recommended for clinical practice, resulting in wide variations in I Continue reading >>

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  1. H20girl

    I'm on the third day of induction, and I do not really know if I'm in ketosis yet. Is there any way I can tell without buying strips?

  2. Angebee

    Metal taste in your mouth, REALLY stinky pee, no appetite. Sometimes you can be nauseaus. Losing weight.

  3. Woman Typing Badly

    Breath of a dead camel

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