Population: Children and adults with acute kidney injury.
Organization
NICE 2013, 2019
Recommendations
–Perform a urinalysis in all patients with AKI. Consider checking urine electrolytes (ie, urine sodium, urine creatinine, urine urea, and urine osmolarity) to calculate a FENa or FEUrea.
–Do not routinely obtain a renal ultrasound when the cause of the AKI has been identified.
–Detect AKI with any of the following criteria:
• Rise in serum creatinine ≥0.3 mg/dL in 48 h.
• 50% or more rise in creatinine in last 7 d.
• Urine output <0.5 mL/kg/h.
–Refer for renal replacement therapy the patients with any of the following refractory to medical management:
• Hyperkalemia.
• Metabolic acidosis.
• Uremia.
• Fluid overload.
Sources