What is the most common cause of acute kidney injury?

The most common cause of acute kidney injury (AKI) is ischemia, which refers to reduced blood flow to the kidneys. Measures to correct underlying causes of acute kidney injury (AKI) should begin at the earliest indication of kidney dysfunction. Serum creatinine does not rise to abnormal levels until a large proportion of the renal mass is damaged, because the relationship between the glomerular filtration rate (GFR) and the serum creatinine level is not linear, especially early in the disease. Indeed, the rise of serum creatinine may not be evident before 50% of the GFR is lost.


It cannot be overstated that the current treatment for AKI is mainly supportive; no therapeutic modalities to date have shown efficacy in treating the condition. Therapeutic agents (eg, dopamine, nesiritide, fenoldopam, mannitol) are not indicated in the management of AKI and may be harmful to the patient.


Maintenance of volume homeostasis and correction of biochemical abnormalities remain the primary goals of treatment and may include the following measures:
Correction of fluid overload with furosemide
Correction of severe acidosis with bicarbonate administration, which can be important as a bridge to dialysis
Correction of hyperkalemia
Correction of hematologic abnormalities (eg, anaemia, uremic platelet dysfunction) with measures such as transfusions and administration of desmopressin or estrogens.
Volume overload:
The Swanand Kidney Clinic emphasizes the importance of early detection and treatment to prevent complications associated with fluid overload, ensuring better health


Causes of Volume Overload :
Volume overload can arise from several underlying conditions, including:
Heart Failure: Impaired heart function can lead to fluid retention, as the kidneys may not receive adequate blood flow to perform their filtering duties effectively.
Kidney Dysfunction: Conditions like chronic kidney disease or acute kidney injury can hinder the kidneys' ability to excrete excess fluid.

Cirrhosis: Liver disease can disrupt fluid balance, contributing to fluid accumulation in the body.

Hormonal Changes: Conditions that affect hormone levels, such as pregnancy, can also lead to fluid retention.




Hyperkalemia
At Swanand Kidney Clinic, we prioritize the management of hyperkalemia through comprehensive kidney care. Our team, led by Dr. Snehal Shankar Gaikwad, specializes in diagnosing and treating conditions related to kidney health. Hyperkalemia in patients with Acute kidney injury treatment can be life-threatening. Approaches to lowering serum potassium include the following:

Decreasing the intake of potassium in diet or tube feeds
Exchanging potassium across the gut lumen using potassium-binding resins
Promoting intracellular shifts in potassium with insulin, dextrose solutions, and beta-agonists
Instituting dialysis
Nephrotoxic agents:
Consultation
Nephrology consultation should be sought early in the course of AKI. A nephrologist can help to optimize management and avoid the preventable complications of AKI.



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What Is The Treatment Of Acute Kidney Failure Treatment In Pune?

Acute kidney injury (AKI) is a sudden decline in the ability of your kidneys to work and perform their normal functions. AKI is sometimes called acute kidney failure or acute renal failure.
AKI is very serious and needs to be treated right away to prevent lasting kidney damage. If AKI is treated early, most people will return to their previous kidney function. If you were healthy before AKI and you get treated right away, your kidneys could work normally or almost normally after treatment.

AKI can sometimes lead to chronic kidney disease (CKD). This usually happens if the AKI causes severe damage to the kidneys. In time, CKD can cause your kidneys to stop working altogether. This is known as kidney failure, end-stage renal disease (ESRD) or end-stage kidney disease (ESKD).

Who has a higher chance of getting AKI?

Acute kidney injury (AKI) is a sudden decline in the ability of your kidneys to work and perform their normal functions. AKI is sometimes called acute kidney failure or acute renal failure.
AKI is very serious and needs to be treated right away to prevent lasting kidney damage. If AKI is treated early, most people will return to their previous kidney function. If you were healthy before AKI and you get treated right away, your kidneys could work normally or almost normally after treatment.

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Acute Kidney Failure Treatment at Swanand Kidney Clinic in Pune

Acute kidney failure, also known as acute kidney injury (AKI), is a serious condition that requires prompt medical attention. In Pune, Our Clinic offers specialized treatment for acute kidney failure, providing comprehensive care and management for patients in need.

Acute Kidney Injury is an abrupt decline in renal function/ urine output over hours to days. This causes a build-up of excess salts &/or fluids and metabolic waste products in the body. Normally there are pairs of kidneys in a person that help in cleansing the blood of various toxins, excrete excess salts and fluids, help regulate the Blood pressure, and synthesize various hormones like Vitamin D and erythropoietin production which support red blood cell formation.

It can be caused by various factors such as infections, dehydration, kidney trauma, exposure to pollutants, or certain diseases like diabetes mellitus and high blood pressure. It is crucial to recognize the symptoms early and seek medical attention to prevent further complications.

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