Renal Function
Expect a serum creatinine bump when starting an ACEI or ARB in kidney disease
How to safely use ACEIs or ARBs in patients with chronic kidney disease, this is an important question. We know these medications slow the progression of kidney disease. But blocking angiotensin can reduce kidney filtration and sometimes lead to a bump in serum creatinine (SCr) and potassium. See " Algorithm (1) of using ACEI or ARB after AKI ". …
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Nephrology and Urology
Diagnosis of acute kidney injury (AKI)
OVERVIEW — Acute kidney injury (AKI) is a term covering a spectrum of injury to the kidneys which can result from a number of causes. It is a clinical syndrome rather than a biochemical diagnosis. The term "acute kidney injury" has replaced the concept of acute renal failure as it more accurately describes that injury to the kidney can occur before functio…
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Nephrology and Urology
How to restart ACEI or ARB in patients after acute kidney injury (AKI)?!
A common scenario that leads to kidney injury is when patients on an ACEI or ARB start an NSAIDs, diuretic, or become dehydrated . Many references suggest using an ACEI or ARB after acute kidney injury is linked to lower mortality. BUT still at the risk of hyperkalemia. If it was stopped because of acute kidney injury, weigh benefits and risks to help decide about re…
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