Acute Kidney Injury in Adults: An Underdiagnosed Condition

Kristy Washinger; MSN; FNP-BC


Journal for Nurse Practitioners. 2017;13(10):667-674. 

In This Article


Because of the complex nature of AKI, it is important for providers to identify patients who are at risk of AKI and implement preventative strategies. It is imperative to identify a patient's baseline creatinine level before surgery or IV contrast administration or use. A history of previous AKI or CKD would indicate a need for preventative measures. If AKI is present, early diagnosis and treatment are key in minimizing the progression of AKI, avoiding severe kidney damage, and limiting associated complications. While waiting for AKI recovery, implement supportive measures; if symptoms of uremia are present and cannot be managed with conservative care, RRT may be initiated by the nephrology team and the patient and his or her family. Further research is needed for the risk assessment of AKI, biomarkers of AKI, relation of AKI cause to prognosis, and management of AKI. In the future, biomarkers of AKI may be able to indicate the location of injury and may be used to monitor the response to treatment plans. This research will aid providers in implementing adequate preventative measures and treatment plans for AKI patients.