{"id":1264,"date":"2017-06-13T07:20:06","date_gmt":"2017-06-13T07:20:06","guid":{"rendered":"http:\/\/papergp.com\/index.php\/data-interpretation\/aki\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"aki","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/data-interpretation\/ues\/aki\/","title":{"rendered":"AKI"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Assess stage of AKI<\/strong><\/h4>\n<ul>\n<li>Stage 1 &#8211; Creatinine rise of 26\u03bcmol\/L within 48 hours (or rise in baseline &gt;1.5 times)<\/li>\n<li>Stage 2 &#8211; Creatinine rise &gt; 2 times baseline<\/li>\n<li>Stage 3 &#8211; Creatinine rise of &gt; 354 \u03bcmol\/L (or rise in baseline &gt; 3 times)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Assess the patient<\/strong><\/h4>\n<ul>\n<li>Medications\n<ul>\n<li>ACEI\/ARB<\/li>\n<li>Diuretics<\/li>\n<li>NSAIDs<\/li>\n<li>Metformin<\/li>\n<li>PPI<\/li>\n<li>Recent contrast<\/li>\n<\/ul>\n<\/li>\n<li>Assess hydration<\/li>\n<li>Check BP<\/li>\n<li>Urine dipstick\n<ul>\n<li>if infection &#8211; avoid trimethoprim\/nitrofurantoin<\/li>\n<li>if blood\/protein &#8211; consider intrinsic renal problem<\/li>\n<\/ul>\n<\/li>\n<li>Exclude palpable bladder<\/li>\n<li>Consider risk factors &#8211; age &gt; 65, CKD, previous AKI, falls with long lie, diabetes, vascular\/heart\/liver disease, malignancy<\/li>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Management<\/strong><\/h4>\n<ul>\n<li>Stage 1 &#8211; repeat U+Es in 5-7 days<\/li>\n<li>Stage 2 &#8211; repeat U+Es in 48 hours + USS KUB<\/li>\n<li>Stage 3 &#8211; refer immediately to local renal team<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Other reasons for immediate referral to local renal team<\/strong><\/h4>\n<ul>\n<li>New finding of blood++ or protein++ on dipstick (in absence of UTI, regardless of stage)<\/li>\n<li>Systemic symptoms &#8211; vasculitic rash, epistaxis, haemoptysis<\/li>\n<li>Kidney transplant<\/li>\n<li>AKI on CKD stage 4 or greater<\/li>\n<li>Inadequate response to initial treatment<\/li>\n<li>Obstruction suspected &#8211; refer to urology<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\nSource: &#8220;KCH\u00a0Adult Acute Kidney Injury Care Pathway for Primary Care &#8221;\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Assess stage of AKI Stage 1 &#8211; Creatinine rise of 26\u03bcmol\/L within 48 hours (or rise in baseline &gt;1.5 times) Stage 2 &#8211; Creatinine rise &gt; 2 times baseline Stage 3 &#8211; Creatinine rise of &gt; 354 \u03bcmol\/L (or rise in baseline &gt; 3 times) &nbsp; Assess the patient Medications ACEI\/ARB Diuretics NSAIDs Metformin PPI &hellip; <a href=\"https:\/\/papergp.com\/index.php\/data-interpretation\/ues\/aki\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">AKI<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1269,"menu_order":17,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1264","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1264","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1264"}],"version-history":[{"count":5,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1264\/revisions"}],"predecessor-version":[{"id":2074,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1264\/revisions\/2074"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1269"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}