Zeitschrift für Nephrologie und Therapeutik

Acute Kidney Injuries: The Emergency Department's Approach

Abstract

Shrenoy Pully* and Pranay Roy

Acute kidney injury (AKI) is a widespread health problem that manifests as a variety of diseases. It has been linked to an increased risk of mortality and, in some cases, progression to chronic kidney disease, particularly in the elderly. AKI is associated with a number of other abnormalities, including metabolic acidosis and changes in body fluid volume. Although the epidemiology of AKI in hospitalised or critically ill populations is well understood and studied, the prevalence in the general emergency department (ED) population is unknown. As a result, acute AKI management and appropriate outpatient followup have not been optimised. This article provides a review of key renal disease principles as well as an evidencebased approach to AKI management in the emergency setting.