Acute Kidney Injury V: Interprofessional Care

Management of Acute Kidney Injury focuses on identifying the cause and monitoring fluid balance to prevent dehydration or fluid overload.

Diuretics like furosemide help reduce symptoms of fluid overload but do not improve kidney function.

Medication adjustments, especially for diuretics, antibiotics, and digoxin, are crucial to prevent toxicity as kidney function declines.

For hyperkalemia, calcium gluconate stabilizes cardiac membranes, while insulin promotes cellular potassium uptake. Patiromer is used for ongoing management.

Dialysis is generally indicated for patients with End-stage kidney disease or severe complications such as fluid overload, hyperkalemia, or metabolic acidosis.

Options include hemodialysis, peritoneal dialysis, and continuous renal replacement therapy.

Lastly, nutritional therapy aims for 30 to 35 kilocalories per kilogram per day, with 0.6 to 1.0 grams of protein per kilogram for non-dialysis patients and 1.2 to 1.3 grams per kilogram for general dialysis patients.