ACUTE KIDNEY INJURY

Acute Kidney Injury (AKI):

Characteristics
• Sudden trauma to the body can cause a build-up of waste
products in the blood and fluid imbalances in the body,
leading to AKI.
• AKI is usually reversible.

• Without prompt treatment, AKI can lead to chronic kidney

disease (CKD) or renal failure. Healty kidney Injured kidney
• AKI is a sudden instance of kidney failure or kidney damage. appearance appearance

Signs and Symptoms Risk Factors Assessment

• Peripheral edema • Injury • Monitoring for changes in vital signs,


(swelling all over the body) • Burns
intake and output, mood, edema,
and blood loss
• Fatigue or tiredness • Dehydration
• Observing the patient‘s mental state
• Confusion • Hemorrhage (blood loss)
• Obtaining labs regarding kidney
• Shortness of breath • Sepsis function, e.g. creatinine, glomerular
• Nausea • Surgery filtration rate (GFR) and overall health,
• Chest pain or pressure e.g. a complete blood count (CBC)
• Pregnancy

Acute Kidney Injury

Criteria

Rise in serum creatinine Reduction in urine output NURSING NOTE:

The
expected range
• > 0.3 mg/dL increase • < 0.5 mL/kg/h for more

for creatinine is
or than 6 hours

0.5–1.1 mg/dL.
• > 50% increase

• Restore fluid balance

Nursing Interventions for • Prevent infection
Clients with AKI Include • Improve nutritional intake

NOTES

www.lecturio.com/nursing Watch Video