지식참고자료

[태그:] acute kidney injury

  • Acute kidney injury 급성신부전

    목차

    1. INTRODUCTION
    2. PATHOPHYSIOLOGY
    3. CLINICAL FEATURES
    4. DIAGNOSIS
    5. TREATMENT
    6. SPECIAL

    본문내용

    INTRODUCTION
    Community-acquired AKI

    Reversible mechanisms, such as volume depletion, medications, infection, or urinary obstruction
    Mortality : from 7.3% to 19.6%

    Hospital-acquired AKI
    Occurs or worsens in the hospital
    Mortality : from 27% to 62%

    PATHOPHYSIOLOGY
    Once the cause of injury is resolved, the remaining functional nephrons increase filtration and eventually hypertrophy

    Vicious cycle

    Remaining nephrons is below some critical number
    Continued hyperfiltration results in progressive glomerular sclerosis
    Leading to nephron loss

    This sequence explains the commonly observed scenario in which progressive AKI occurs after
    initial recovery from AKI, contributing to delayed mortality

    출처 : 해피캠퍼스

  • 성인간호실습 중환자실(ICU) 급성신부전 AKI (acute kidney injury) 임상개념도

    목차

    없음

    본문내용

    <환자 정보>
    – 성별/나이 – 진단명: AKI(acute kidney injury) – 과거력: HTN, NIDDM
    – 입원동기: 내원 2일 전부터 하루에 1시간씩 계속 vomiting 있었다고 하며 watery diarrhea 보였다고 함.
    – 적용기구: V/S monitor, HD, CRRT, Foley catheter, HD catheter, A-line catheter, nasal cannula
    – V/S: 205/127-111-24-36.0-99% – 의식상태: alert

    <주요 검사 결과>
    – ABGA: 6.90-17-69.0-3.3(74.9) – chest AP: biluteral pleural effusion

    출처 : 해피캠퍼스