Acute Kidney Injury (AKI) Worksheet

What is a key characteristic of Acute Kidney Injury (AKI) regarding renal function?

• Gradual decrease over months

• Abrupt and sustained decrease over hours to days

• No impact on renal function markers

• Decrease solely in non-nitrogenous waste products

Which of the following is the primary therapeutic goal in pre-renal AKI?

• Administer diuretics

• Correct volume deficits and optimize cardiac function

• Prescribe colloids for volume expansion

• Increase blood pressure above 90 mmHg

In diabetic ketoacidosis (DKA), the typical blood sugar level is:

• Above 180 mg/dL

• Above 250 mg/dL

• Below 180 mg/dL

• Below 250 mg/dL

What differentiates Hyperosmolar Hyperglycemic State (HHS) from DKA?

• Presence of ketoacidosis

• Absence of ketonuria

• Blood glucose levels under 250 mg/dL

• Higher prevalence in type 1 diabetes

Which physiological measurement should be targeted with vasopressor therapy in patients with pre-existing hypertension to reduce AKI risk?

• MAP of 50-60 mmHg

• MAP of 60-70 mmHg

• MAP of 80 mmHg

• MAP of 100 mmHg

The Yale Protocol recommends holding the insulin drip for 1 hour if the blood glucose level decreases by more than:

• 50 mg/dL/hr

• 100 mg/dL/hr

• 75 mg/dL/hr

• 125 mg/dL/hr

Which treatment is recommended initially in patients with AKI for expansion of intravascular volume?

• Isotonic crystalloids

• Colloids such as albumin

• Dopamine infusions

• Fenoldopam administration

Stress hyperglycemia is defined as:

• Chronic hyperglycemia unrelated to acute illness

• Increased blood glucose during acute stress without glucose homeostasis dysfunction

• Permanent rise in blood glucose due to chronic conditions

• Temporary hypoglycemia in response to stress

In cases of HHS, the glucose level is typically:

• 200-300 mg/dL

• 300-400 mg/dL

• Above 600 mg/dL

• 100-200 mg/dL

In Thyroid Storm, which symptom is least likely to be present?

• High fever

• Jaundice

• Loss of consciousness

• Hypoglycemia