Acute kidney injury

Meet the patient

A 72-year-old man with sepsis has produced almost no urine for eight hours. His creatinine has risen from a baseline of 95 to 340 micromol/L, and his potassium is 6.7 mmol/L.^[25]

This is severe AKI with an immediate threat. Creatinine above three times baseline is KDIGO stage 3, and oliguria below 0.5 mL/kg/h for at least six hours meets the urine-output definition of AKI. Life-threatening electrolyte and acid-base changes require emergent RRT.^[25]

References25ShowHide

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