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NUR 265 Acute Kidney Injury ATI Template
- Course
- ATI NUR265
- Institution
- Galen College Of Nursing
Acute Kidney Injury ATI Template for aNUR 265. *Essential Study Material!!
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ACTIVE LEARNING TEMPLATE: System DisorderSTUDENT NAME _____________________________________
ACUTE KIDNEY INJURY (AKI)
DISORDER/DISEASE PROCESS __________________________________________________________ 63
REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
AKI rapid reduction in kidney function Avoid dehydration by consuming 2 - 3L water daily
resulting in a failure to maintain waste Assess for early signs of kidney dysfucntion in
hospitalized patients
elimination, fluid electrolyte balance, Monitor lab values
Awareness of nephrotoxic substances
acid-base balance
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings side effects of
Prerenal - perfusion reduction oliguria
azotemia metabolic
fluid overload
Intrinsic/Intrarenal - Kidney MAP < 65 mmHg acidosis :
Damage tachycardia
thready peripheral pulses hyperkalemia,
Postrenal - urine flow obstruction decreased cognition
hypocalcemia
hemodynamic
instability
Laboratory Tests Diagnostic Procedures
BUN KUB rhabdomyolysis
Creatinine Ultrasound
Urinalysis CT Scan
GFR Nuclear Medicine Studies drug dosing
BMP Cytoscopy
ABG Retrograde Pyelography
HCT Kidney Biopsy
PATIENT-CENTERED CARE Complications
Metabolic - acidosis,
Nursing Care Medications Client Education hyperlipidemia,
hyperkalemia,
avoid nephrotoxic substances -IVF dietary restrictions hyponatremia, hypocalcemia
strict I&O fluid restrictions Cardiopulmonary -
-Diureticcs peripheral & pulmonary
monitor for hypotension and -Calcium how to monitor fluid edema, heart failure, PE,
tachycardia
correct underlying cause Channel intake and output pericarditis, periccardial
effusion, HTN, MI
Blockers Neurologic -
-Sodium irritability, weakness,
seizures, mental statuss
Polystyrene changes
Therapeutic Procedures Sulfonate Interprofessional Care Immune/Infectious -
pneumonia, sepsis
Renal replacement -Sorbitol Dietitian GI - nausea, vomitting,
decreased peristalsis,
therapy -phosphate Nephrology enteral nutrition intolerance,
hemodialysis binding agents Phlebotomy malnutrition, ulcer
formation, bleeding
peritoneal dialysis Pharmacist Hematologic - bleeding,
Nursing anemia, thrombosis
Renal - CKD, ESRD
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11
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