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Page updated: 09/12/2011
Navigation for Departments
AKI Referrals for Grade 3
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increase ≥3 times baseline creatinine
orincrease ≥354 μmol/L baseline creatinine
oron renal replacement therapy
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<0.3 mL/kg/ hr for > 24 hrs
or anuria for 12 hrs
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ALL GRADE 3
with
No evidence of obstruction
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ALL GRADE 3
with
Obstruction on USS
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Renal on-call
Aim transfer to Ward 7b, GRH
Aim for transfer within 24 hours
(see AKI transfer policy)
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Urology on-call
If nephrostomy required proceed
immediately (NCEPOD standard)
Simultaneous discussion with ITU
and Renal on-call
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If patient too ill for transfer (see AKI transfer policy)
Contact ITU team
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| Institute AKI care bundle while transfer pending |
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Appropriate investigations for Renal referrals
HR, RR, BP, Saturations
FBC, Renal Profile, ABG/lactate
ECG & CXR
Baseline creatinine level
Urine dipstick
USS if obtained
Comorbid history
MRSA status
Whether diarrhoea in last 48 hours
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