Acute Kidney Injury

Risk factors:

• Dehydration - Dependence on others for access to fluids

• Sepsis

• Nephro-urological, cardiac or liver disease

• Malignancy and/or bone marrow transplant

• Hx of taking nephrotoxic drugs e.g. ACEi, ARBs, NSAIDs, Aminoglycosides

Presentation

• Oliguria – less frequent, drier nappies

• Oedema – usually gradual onset

• Fatigue

• N+V

• Flank pain if post-renal obstruction

• Signs of congestive heart failure are very late findings

Investigations

• Bloods – FBC, U&E, Bone profile, Albumin

• Urine dip

• US KUB