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Title: ACUTE KIDNEY INJURY
Description: ACUTE KIDNEY INJURY suitable at MBBS level. Complete notes including acute management guidelines.
Description: ACUTE KIDNEY INJURY suitable at MBBS level. Complete notes including acute management guidelines.
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ACUTE KIDNEY INJURY
CAUSES OF AKI
STOP
S – Sepsis and hypoperfusion
T – Toxicity
O – Obstruction
P – Parenchymal kidney disease
S
1
...
Nephrotoxic drugs
2
...
Bladder out flow
2
...
Glomerular nephritis
2
...
Rhabdomyolysis
COMPLICATIONS
Hyperkalaemia
Acidosis
Pulmonary oedema
Reduced conscious level
HYPERKALAEMIA
If ECG changes;
Calcium gluconate 10ml 10% IV
If bicarbonate < 22 and no fluid overload
500ml 1
...
15
Generally given only for hypokalaemia
PULMONARY OEDEMA
Sit patient up
Oxygen 60% - 100%
Frusemide 80ml IV
Repeat if necessary
The infusion 10ml per hour
If haemodynamically stable GTN 1 to 10 ml per hour
REDUCED CONSCIOUS LEVEL
Manage as per other causes of reduced level of consciousness
Airway management
Renal replacement therapy
Title: ACUTE KIDNEY INJURY
Description: ACUTE KIDNEY INJURY suitable at MBBS level. Complete notes including acute management guidelines.
Description: ACUTE KIDNEY INJURY suitable at MBBS level. Complete notes including acute management guidelines.