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Initial AKI Management
- Always check the post-void residual (PVR) and insert a catheter if elevated.
- Obtain a urine dip to identify potential issues like glomerulonephritis.
Managing AKI in Cardiac Patients
- For hypertensive AKI patients with pulmonary edema, administer nitrates and BiPAP.
- If hypotensive, they are challenging; use norepinephrine for blood pressure support, then add an inotrope, and consult cardiology.
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.