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Author Question: A child is prescribed gentamycin (Garamycin) and develops acute kidney injury. Which etiology is the ... (Read 79 times)

09madisonrousseau09

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on: Jun 28, 2018
A child is prescribed gentamycin (Garamycin) and develops acute kidney injury. Which etiology is the most likely cause of the child's acute kidney injury?
 
  A.
  Intrarenal
  B.
  Postrenal
  C.
  Prerenal
  D.
  Streptococcal

Question 2

A child has acute kidney injury (AKI). Which primary acid-base balance does the nurse assess the child for?
 
  A.
  Metabolic acidosis
  B.
  Metabolic alkalosis
  C.
  Respiratory acidosis
  D.
  Respiratory alkalosis


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daiying98

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
Gentamycin is one of the aminoglycoside antibiotics, which are known to be nephrotoxic, leading to intrarenal kidney injury. Prerenal kidney injury is due to decreased perfusion. Postrenal kidney injury is obstructive in nature. Strep infections can cause damage to body systems, but there is no indication this child had a strep infection. Gentamycin is directly related to an intrarenal injury.

Answer to Question 2

ANS: A
In AKI there is insufficient hydrogen ion excretion and poor bicarbonate reabsorption, leading to metabolic acidosis.


09madisonrousseau09

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Reply 2 on: Jun 28, 2018
Thanks for the timely response, appreciate it

dyrone

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Reply 3 on: Yesterday
Excellent

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