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Acute kidney injury: Difference between revisions
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(Created page with "'''Acute kidney injury''' (AKI) is a clinical syndrome which is characterised by an acute decrease in <abbr>GFR</abbr> (over hours or days), as evidenced by elevated creatinine. There may also be accumulation of urinary waste products and oliguria/anuria, but not always. It may be prerenal, renal, or postrenal, but the most common causes are prerenal and acute tubular necrosis. During the evaluation it’s impo...") |
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'''Acute kidney injury''' (AKI) is a clinical syndrome which is characterised by an acute decrease | '''Acute kidney injury''' (AKI) is a clinical syndrome which is characterised by an acute decrease kidney function (<abbr>[[Glomerular filtration rate|GFR]])</abbr> (over hours or days), as evidenced by elevated creatinine. There may also be accumulation of urinary waste products and [[Oliguria and anuria|oliguria/anuria]], but not always. The cause may be prerenal, renal, or postrenal, but the most common causes are prerenal and [[acute tubular necrosis]]. | ||
During the evaluation it’s important to determine whether it’s really acute or chronic, and to determine the underlying cause. Management includes treating the cause and correcting severe electrolyte disturbances. In some cases, [[renal replacement therapy]] may be required. | During the evaluation it’s important to determine whether it’s really acute or chronic, and to determine the underlying cause. Management includes treating the cause and correcting severe electrolyte disturbances. In some cases, [[renal replacement therapy]] may be required. | ||