Most people do not have symptoms. In those that have them, AKI may cause:
Lower or higher amounts of urine than normal
Dark or red urine
Nausea or vomiting
Lack of hunger
The doctor will ask about symptoms and past health. Blood and urine tests will be done to measure levels of toxins and proteins. It will show how well the kidneys are working. Images of the kidneys may be taken with:
Care depends on the cause of AKI and how serious it is. The goal is to manage the cause and support the kidneys until they can work again. The kidneys may be able to recover normal function once they have had a chance to rest. Care may involve:
Stopping or changing medicines causing harm to your kidneys
Controlling blood pressure and diabetes
Avoiding medicine that could be harmful such as NSAIDs common in over-the-counter pain medicine
Limiting salt and protein in diet
Dialysis—a machine works for your kidneys by filtering your blood
Caring for problems such as kidney stones or infections
Some AKIs can cause permanent severe damage to kidneys. Long term dialysis or a kidney transplant may be needed.
Acute kidney injury. EBSCO DynaMed website. Available at: https://www.dynamed.com/approach-to/acute-kidney-injury-approach-to-the-patient. Accessed September 13, 2020.
Acute kidney injury (AKI). Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/genitourinary-disorders/acute-kidney-injury/acute-kidney-injury-aki. Accessed September 13, 2020.
Kidney failure. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure. Accessed September 13, 2020.
Rahman M, Shad F, Smith MC. Acute kidney injury: a guide to diagnosis and management. Am Fam Physician. 2012;86(7):631-639.
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