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Medical Emergency

Acute Kidney Injury (AKI)

Sudden loss of kidney function requiring immediate medical attention

Seek Immediate Medical Help

If you or someone you know is experiencing symptoms of acute kidney injury, seek emergency medical care immediately.

What is Acute Kidney Injury?

Acute Kidney Injury (AKI), formerly called acute renal failure, is a sudden episode of kidney failure or kidney damage that happens within a few hours or days. AKI causes a buildup of waste products in the blood and makes it hard for the kidneys to keep the right balance of fluid in the body.

AKI can range from minor to complete kidney failure. It can be life-threatening and requires immediate treatment. However, with prompt treatment, many people recover full kidney function.

Causes of AKI

Decreased Blood Flow

Severe dehydration, blood loss, shock, heart failure, liver failure

Direct Kidney Damage

Medications (NSAIDs, contrast dye), infections, toxins, autoimmune diseases

Urinary Obstruction

Kidney stones, enlarged prostate, tumors, blood clots in urinary tract

Symptoms

Decreased urine output or no urine
Swelling in legs, ankles, and feet
Shortness of breath
Fatigue and drowsiness
Confusion
Nausea and vomiting
Chest pain or pressure
Seizures (in severe cases)
Coma (in very severe cases)

Diagnosis

Blood tests (creatinine, BUN, electrolytes)
Urine tests (output measurement, analysis)
Kidney ultrasound
Blood gas analysis
Urinary catheterization (to rule out obstruction)
Kidney biopsy (in some cases)

Treatment

Identify & Treat Cause

Address the underlying condition causing AKI

Fluid Management

IV fluids for dehydration or fluid restriction for fluid overload

Medication Adjustment

Stop nephrotoxic drugs, adjust dosages of other medications

Electrolyte Management

Treat high potassium and other electrolyte imbalances

Dialysis

Temporary dialysis if kidneys don't recover or to remove toxins

Supportive Care

Nutritional support, monitoring, and prevention of complications

Emergency Care

AKI requires immediate medical attention. Contact Dr. Goel or visit the nearest emergency room.

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PSRI Hospital, New Delhi