What is your approach to monitoring for recovery in a patient with non-oliguric AKI requiring dialysis?
Answer from: at Academic Institution
In my opinion, the best test to monitor the recovery of renal function in an AKI patient is a daily measurement of serum creatinine. Decreasing serum creatinine is the most reliable marker to indicate recovery of kidney function after AKI.
The main confounder would be simultaneous loss of muscle ma...
Even though non-oliguric patients with AKI are still making urine, it is usually the case that once renal function starts to improve the first sign is an increase in the urine volume. Making monitoring of daily urine volumes is still very important. Often, when patients are starting to recover from ...
Comments
at Mount Sinai The problem with continuing HD in these circumstan...
My usual standard for stopping dialysis in patients with AKI on intermittent HD is to check the serum creatinine on an inter-dialytic day and the next day, pre-dialysis. if the value has fallen or remains the same, I’ll stop and monitor. In my experience stopping dialysis when urine output rec...
Agree with Dr. @Sherman. The real issue is not recognizing recovery because you just scan the monthly labs. Patients often get discharged to a dialysis unit we do not cover and so I tell the patient to remind their nephrologist that we thought there was a good chance they may come off dialysis and t...
Comments
at Robert Wood Johnson University Hospital There is an awfully large number of patients on ch...
at Milwaukee Nephrologists Sc Couldn’t agree more with all the answers her...