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What is your approach to monitoring for recovery in a patient with non-oliguric AKI requiring dialysis?

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Is serum creatinine the most reliable indicator of recovery of kidney function during non-oliguric AKI?

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4 Answers
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Nephrology · Mount Sinai
Answered on

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 mas...

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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

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 ...

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Nephrology · Robert Wood Johnson University Hospital
Answered on

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 recovers ...

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Nephrology · Rush Medical College
Answered on

Agree with Dr. @Dr. First Last. 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 dialysi...

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