Acute kidney injury

Liz Stallworthy provides an update on acute kidney injury (AKI) and acutely rising creatinine.

Topics

intro
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Defining acute kidney injury (AKI).
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The three stages of AKI.
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The 2023 guidance (KDIGO) definition uses sCr- why is eGFR not used?
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Risk factors for AKI - what does a vulnerable patient look like?
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Red flags.
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Can considering AKI as pre-renal, renal, and post-renal assist us in conducting our investigations.
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What about post-renal.
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What percentage of AKI are pre-renal, renal, post-renal?
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Investigations to order if we suspect AKI?
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How quickly does an ultrasound need to happen?
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What patients need to be referred acutely to hospital?
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Community management
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Prognosis is poor post AKI episode and morbidity is increased.
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Long term management once the AKI episode has resolved.
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Take-home messages.
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Take home messages

Medicines, medicines, medicines.
Assess volume state and baseline weight.
Test the urine, looking for blood and protein.
Repeat kidney function test within 48 hours to check they are improving.
Give sick day advice - when prescribing.

Presenter

Elizabeth Stallworthy

Nephrologist

Liz is a nephrologist at Auckland City Hospital. Her interests include kidney supportive care and conservative management of chronic kidney disease, metabolic management of kidney stones, haemodialysis and teaching communication skills to health care professionals.

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Topics

Take home messages

Presenter

Elizabeth Stallworthy

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Recognition of Learning Activities

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