09.02 Acute Tubular Necrosis for CCRN Review
Included In This Lesson
Outline
Nursing Points
General
- Acute tubular nephrosis
- Emergency
- 50% will die
- 25% need hemodialysis
- 25% recover
- Ischemia
- Hemorrhage
- Burns
- Sepsis
- Heart failure
- Transfusion reactions
- Nephrotoxicity
- Ingesting heavy metals
- Medications
- Street drugs
- Rhabdomyolysis
- Radiocontrast
- Stages
- Oliguric
- Lasts 10-17 days
- Decreased urine output
- Increase in labs:
- BUN
- Creatinine
- Potassium
- Fluid overload
- Polyuric
- Diuretic stage
- Not an indication of improvement
- Proximal tubule is necrotic
- Increase in labs
- Urine output
- BUN
- Creatinine
- Decreased labs
- Fluid
- Potassium
- Lasts 2weeks to 3 months
- Recovery Stage
- Lasts 3 months – 1 year
- Want kidneys to regenerate
- Oliguric
- Emergency
CCRN Review (Critical Care Certification Review)
This course is a review for the CCRN exam. Experienced critical care nurses that meet the testing criteria can use this course to review key concepts for their CCRN exam, which is a certification for critical care nurses. Criteria to test includes having 1,750 hours in direct bedside care of acutely and/or critically ill patients during the last 2 years (prior to the exam). 875 hours need to be worked in the year prior to your application.