MRCP UK EXAMINATIONS

ABDOMINAL

RENAL REPLACEMENT THERAPY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse should recognize that the production of lactic acid would place the client at risk for which of the following?
A
Pre-renal injury
B
Intra-renal injury
C
post-renal injury
D
Occlusive-renal injury
Explanation: 

Detailed explanation-1: -Acute tubular necrosis (ATN) is the most common cause of intrarenal AKI in hospitalized patients. Renal ischemia, sepsis, and nephrotoxins are major causes of ATN.

Detailed explanation-2: -Prerenal: decreased renal perfusion (often from hypovolemia) leading to a decrease in GFR; reversible. Intrarenal: intrinsic kidney damage; ATN most common due to ischemic/nephrotoxic injury. Postrenal: extrinsic/intrinsic obstruction of the urinary collection system.

Detailed explanation-3: -Post-renal causes mainly include obstructive causes, which lead to congestion of the filtration system leading to a shift in the filtration driving forces. The most common ones being renal/ureteral calculi, tumors, blood clots, or any urethral obstruction.

Detailed explanation-4: -Glomerulonephritis signs and symptoms may include: Pink or cola-colored urine from red blood cells in your urine (hematuria) Foamy or bubbly urine due to excess protein in the urine (proteinuria) High blood pressure (hypertension)

There is 1 question to complete.