Acute Kidney Injury

Body Systems › Renal / Urinary System › Acute Kidney Injury
Renal Clinical reference

Acute Kidney Injury

AKI is rapid decline in kidney function (KDIGO: creatinine rise ≥0.3 mg/dL in 48h or ≥1.5× baseline in 7d, or UO <0.5 mL/kg/h × 6h). Pre-renal (most common), intrinsic, post-renal.

AKI acute kidney injury acute renal failure ARF
Terms
0
ICD-10
0
Evidence
5
Trials
3
Latest evidence

Latest evidence

Core official overview

What this condition is

Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise. Your body may retain excess fluid and not make enough red blood cells. This is called kidney failure.If your kidneys fail, you need…

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Common tests

Tests performed

Serum creatinine + BUN (KDIGO criteria) Urine output monitoring Urinalysis + urine microscopy FENa (<1% pre-renal) Renal ultrasound CBC BMP Uric acid (tumor lysis)
Common medications

Recognize the drug and the class

IV fluid resuscitation (pre-renal) Diuretics (fluid overload only) Discontinue nephrotoxins (NSAIDs, contrast, aminoglycosides) Renal dose adjustments Dialysis (KDIGO stage 3 indications: AEIOU)
Related nursing diagnoses

NANDA diagnoses & care plans

Use these direct links to open nursing diagnoses and care-plan support related to Acute Kidney Injury.

Excess Fluid Volume Imbalanced Nutrition Risk for Electrolyte Imbalance Fatigue
Recruiting clinical trials

Additional official research

RECRUITING NA

Prevention and Treatment of AKI VEXUS Guided Post Cardiac Surgery

NCT06972082

The main goal of this clinical trial is to learn if evaluation by ultrasound of venous congestion of liver and kidneys can guide treatment and prevent and treat acute kidney injury post cardiac surgery (CSA-AKI). Participants will: Be eval…

Official education links

Plain-language study support

Useful for plain-language reinforcement and quick review.

Kidney Failure Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise. Your body may retain excess fluid and not make enough red blood cells. This is called kidney failure.If your kidneys fail, you need… Kidney Diseases You have two kidneys, each about the size of your fist. They are near the middle of your back, just below the rib cage. Inside each kidney there are about a million tiny structures called nephrons. They filter your blood. They remove wastes and extra water, which become urine. The urine flows through tubes called ureters. It goes to your bladder, which stores the urine until you go to the bathroom.Most kidney diseas… Liver Diseases Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons.There are many kinds of liver diseases:Diseases caused by viruses, such as hepatitis A, hepatitis B, and hepatitis C.Diseases caused by drugs, poisons, or too much alcohol. Examples include steatotic liver disease and cirrhosis.Liver cancer.Inherited diseases, such as hemochromatosis and Wilson disease.… Hepatitis What is hepatitis?Hepatitis is inflammation of the liver. Inflammation is swelling that happens when tissues of the body are injured or infected. It can damage your liver. This swelling and damage can affect how well your liver functions.Hepatitis can be an acute (short-term) infection or a chronic (long-term) infection. Some types of hepatitis cause only acute infections. Other types can cause both acute and chroni…