Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →  IV Fluids
 • If high preload → Diuretics
 • If low contractility → Afterload reduction (not ACEIs) +/- inotropes
 • Hepatorenal syndrome → Treat underlying liver disease, ? Octreotide + midodrine + albumin
Intrarenal:
 • Treat the underlying disease
 • ATN → No specific treatment
 • AIN → Consider steroids if not improving with discontinuation of causative medication
Postrenal - Relieve obstruction:
 • Ureteral obstruction → nephrostomy tube(s) and/or ureteral stent(s)
 • Neurogenic bladder → Intermittent straight cath or long-term Foley
 • UTI → Antibiotics +/- temp Foley catheter
 • Medications → Stop meds
 • BPH → α blockers + temporary Foley Catheter

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

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