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FG 5 Keperawatan Anak Sakit A, Acute Kidney Injury (AKI) in Pediatric,…
FG 5 Keperawatan Anak Sakit A
Acute Kidney Injury (AKI) in Pediatric
The Pathophysiology
classified to
Post Renal
defined as
Obstruction anywhere along the urinary tract
started when
The renal blood flow increases in early hours after obstruction occurs
causing
Pushing the urine and nephrone injury occurs
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caused by
Lower urinary tract infection
can be identified by
Urine MCS
Bladder cancer
can be identified by
CT scan
Bladder scan
Cervical cancer
Prostate enlargment
Renal stone
causes dilatation
Prerenal
defined as
A result of decrease perfusion to the normal kidney
caused by
Reduced cardiac output
Diagnosis
Risk for Decreased Cardiac Output
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IF causing pulmonary edema
Diuretics
Decrease of effective circulatory volume
Hypovolemia
Treatment
Rapid Fluid Replacement
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causing
Impaired renal regulation
Is reversible
if it's prolonged, causes
Ischemic injury
assessment
Fluid status
FENa+ <1%
FEUrea <35%
Hypervolemic
Intrarenal
defined as
A result of glomerular, tubular, or interstitial injury
resulting
Decreasing Renal function
Risk for Imbalanced Nutrition: Less Than Body Requirements
Interventions
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Outcomes
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identified by
Interstitial & tubular disease
Connective tissue disease
Nephrotoxin
Infection
Acute tubular necrosis
Acute interstitial nephritis
Vascular injury
resulting
Malformed platelets to cause endothelial damage
Embolism to cause direct injury
Glomerular injury (glomerulonephritis)
Inflammation of glomerulus
causing
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leads to
assessment
Urine cast
Urine PCR
Urine MCS
Urinalysis
Lab test
Serum creatinine& BUN leve
Evaluating renal function
Creatinine increase
Urea increase
Nitrogen increase
Serum Electrolytes
determine complications
Hyperklaemia
Hypocalcemia
Prevent, Promote,
& Rehab
Prevented infection.
hand hygiene
Sterile technique
cultured the drainage from catheter
Asses vital sign and lung sound frequently
Promoted pulmonary function.
the use of protocol for prevention of contrast-induced nephropathy,
Education about AKI
Discharge Planning & Home care teaching
Parents understand the importance of medication
Parents can measure their child BP
Diet Counseling
Focus Group 5:
Kezia Arihta Sembiring (1906400646)
Muthia Anjali (1906400425)
Sheila Hasinna (1906349772)