View source for Narrative Review: Acute Kidney Injury

__NOTOC__
{{Narrative Review}}
{{CMG}}; {{AE}}{{MJ}}
{| class="wikitable"
!'''Site'''
!'''Patient'''
!'''AE'''
!'''Complication'''
!'''Event date'''
!'''AE code'''
|-
|xxx
|xxx
|x
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|MM/DD/YYYY
|xxx
|}

== Renal dysfunction Definition ==
Persistent decrease in eGFR of > 20 ml/min/1.73 m2 from baseline >48 hours that does not respond to simple measures such as decreasing diuresis or volume replacement). [Note: eGFR via CKD-Epi equation]

=== Acute Kidney Injury (AKI) definition ===
AKI is defined as any of the following (Not Graded):

O Increase in SCr by X0.3 mg/dl (≥26.5 μmol/l) within 48 hours; '''or'''

O Increase in SCr to ≥1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; '''or''' 

O Urine volume <0.5 ml/kg/h for 6 hours.

'''Stage criteria for AKI based on Serum Creatinine'''

O '''Stage 1''': 1.5–1.9 times baseline OR ≥0.3 mg/dl (≥26.5 μmol/l) increase

O '''Stage 2''': 2.0–2.9 times baseline

O '''Stage 3''': 3.0 times baseline OR Increase in serum creatinine to ≥4.0 mg/dl (≥353.6 μmol/l) OR Initiation of renal replacement therapy

'''Laboratory:'''
{| class="wikitable"
|'''Date'''
|'''Time'''
|'''BUN/Cr'''
|'''Na/K'''
|'''Urine output'''
|'''Arterial pH'''
|'''HCO3'''
|'''HgB'''
|-
|MM/DD/YYYY
|xx:xx
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|MM/DD/YYYY
|xx:xx
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|MM/DD/YYYY
|xx:xx
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== Event(s)==
'''Event (1):'''
*'''Site Reported Event Onset Date:''' MM/DD/YYYY 

*'''Event summary''':
**'''Symptoms and sign''':
***Subject presented with [sign and symptom] on MM/DD/YYYY.
***Important characteristics of the chief complaint such as severity, site, and duration.
***Other important symptoms related to the chief complaint.
**'''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
**'''Past Surgical History:''' [including date]
**'''Medications:''' [relevant to the event not all]
**'''Physical assessment:'''
***Vital signs
***Positive physical examinations or related negative examinations.
'''Event (2):'''
*'''Site Reported Event Onset Date:''' MM/DD/YYYY 
*'''Event summary''':
**'''Symptoms and sign''':
***Subject presented with [sign and symptom] on MM/DD/YYYY.
***Important characteristics of the chief complaint such as severity, site, and duration.
***Other important symptoms related to the chief complaint.
**'''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
**'''Past Surgical History:''' [including date]
**'''Medications:''' [relevant to the event not all]
**'''Physical assessment:'''
***Vital signs
***Positive physical examinations or related negative examinations.

==Procedure==
*'''Index Procedure Date/Time''':
**mm/dd/YYYY at xx:xx  [insert date and time]
*'''Index Procedure Detail''':
**On mm/dd/YYYY at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
**Access site details
**The site reported that there were/were not procedural complication(s). 
== Other Laboratory data and Imaging ==
* '''Other laboratory:'''
** Date/ name/ value

* '''ECG / date:'''

* '''ECHO / date:'''
* '''CXR / date:''' 
* '''Other imaging and diagnostic tests / date:'''

== Consults ==
*Date and time of consult
*Suggested treatments
==Clinical course==
*Date and time of events:
*Dialysis / time
*Patient condition got worse or better.
==Treatment and outcome==
*List of relevant medical treatments
*Outcome [Discharge / Hospice / Death]