Prolonged Field Care Podcast

The Basics: Acute Kidney Injury


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In this podcast episode, Dennis talks with Doug (an ICU doctor) about acute kidney injury. They discuss the causes and types of acute kidney injury, how to recognize it, and the treatment options available. They also cover the recovery and prognosis of acute kidney injury, as well as the crush injury protocol and managing potassium levels. The episode provides valuable insights for healthcare practitioners dealing with acute kidney injury in prolonged field care situations.

Takeaways

  • Acute kidney injury can be caused by a drop in perfusion to the kidneys, blockage of urine flow, or toxic injury to the kidneys.
  • Recognizing acute kidney injury is important, and urine output and laboratory tests can help in the diagnosis.
  • Treatment of acute kidney injury involves preventing further injury, ensuring adequate volume replacement, and adjusting medication dosages.
  • Most young healthy kidneys will recover from a hypoxic type of injury, but toxic injuries may cause irreversible damage.
  • The crush injury protocol includes bicarbonate, albuterol, insulin, and glucose to manage potassium levels.
  • Monitoring and adjusting treatment is crucial, and Lasix may be used in certain cases of acute kidney injury.
  • Thank you to Delta Development Team for in part, sponsoring this podcast.
    ⁠deltadevteam.com⁠
    For more content go to ⁠www.prolongedfieldcare.org⁠
    Consider supporting us: ⁠patreon.com/ProlongedFieldCareCollective

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    Prolonged Field Care PodcastBy Dennis

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