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Acute Kidney Injury (Emergency)

AKI requires prompt diagnosis, removal of the cause and dialysis when indicated.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Acute Kidney Injury (Emergency)?

Acute kidney injury (AKI) is a loss of renal function developing over hours to days and marked by rising creatinine and/or reduced urine output. It is staged by the KDIGO criteria.

AKI is classified as prerenal (volume loss, hypotension), intrinsic (acute tubular necrosis, glomerulonephritis) or postrenal (obstruction).

Treatment includes cause-specific intervention, volume optimisation, avoidance of nephrotoxins, correction of electrolytes and urgent dialysis when needed.

Symptoms

Oliguria (<400 mL/day) or anuria
Malaise, nausea and vomiting
Oedema and weight gain
Dyspnoea from pulmonary oedema
Confusion or lethargy
Arrhythmia from hyperkalaemia

Risk Factors

Sepsis, hypotension
Nephrotoxic drugs (NSAIDs, aminoglycosides, contrast)
Dehydration
Chronic kidney disease
Diabetes and hypertension
Obstructive uropathy (prostate, stones)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Call 112 for marked reduction in urine output
  • Severe vomiting or diarrhoea risks dehydration
  • Sudden deterioration in a known kidney patient requires emergency care
  • Shortness of breath and oedema may indicate need for dialysis

Treatment Methods

01
Haemodynamic stabilisation and volume optimisation
02
Discontinuation of nephrotoxic drugs
03
Correction of electrolyte and acid-base disturbances
04
Urinary-tract drainage if obstruction is present
05
Urgent haemodialysis for the AEIOU indications
06
Treatment of the underlying cause

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Acil Servis Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.