The Curbsiders Internal Medicine Podcast #226 Kidney Boy on Acute Kidney Injury: Myths & Musings - Tips and Tricks from Joel Topf MD
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Jul 20, 2020 AI Snips
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Categorize AKI by Location
- Categorize AKI as prerenal, postrenal, or intrarenal to guide diagnosis and management.
- Most cases (70-90%) are prerenal or postrenal and respond to fluids and Foley catheter placement.
Check NSAIDs, Volume, Rhabdo
- In young athletes with AKI, consider NSAIDs, volume depletion, and rhabdomyolysis.
- Ask specifically about NSAID use and monitor for rhabdo signs like dark urine and elevated creatine kinase.
Aggressive Fluid Resuscitation
- In young, otherwise healthy patients, err on the side of generous fluid resuscitation to prevent AKI progression.
- Target around 200 cc/hr of lactated Ringer's to maintain renal perfusion and prevent dialysis necessity.