3 criteria for an AKI?
Creatinine: rise of 26mm/Litre or more within 48hrs
50% or more rise in creatinine within 7 days
Fall in UO to less than 0.5ml/kg/hr for more than 6 hrs
Drugs to stop in AKI
Diuretics
ACEis/ARBs/Aminoglycosides
Metformin
NSAIDs
Drugs to maybe stop in AKI?
Lithium
Digoxin
Metformin (ish)
Drugs to continue in AKIs?
Paracetamol
Warfarin
CVD aspirin (75mg OD)
Bblockers
Clopidogrel
Statins
Stage 1 AKI?
Cr increase 1.5-1.9
Cr >26.5
UO <0.5 ml/kg/hr for >6 hrs
Stage 2 AKI?
Cr increase of 2.0-2.9
UO of o<0.5ml/kg/hr for 12 hours
Stage 3 AKI?
Cr increase of >3 form baseline
Cr of >353.6
Urine output of <0.3 ml/kg/hr over 24 hours