Emergency Medicine Cases

Ep 151 AKI Part 2 – ED Management

17 snips
Jan 12, 2021
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ADVICE

AKI Admission Indications

  • Admit patients with worsening creatinine despite initial management.
  • Admit patients if adequate urine output isn't achieved within four to six hours.
ADVICE

Fluid Choice in AKI

  • Consider Ringer's lactate as the preferred fluid choice for AKI due to its balanced composition.
  • It mitigates the acidotic environment created by normal saline.
INSIGHT

Timing of Dialysis in AKI

  • Delaying dialysis until absolutely necessary may reduce overall dialysis needs and chronic dialysis risk. The STARRT-AKI trial suggests this approach doesn't affect mortality.
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