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Kidney function
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RIFLE
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AKIN
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RIFLE vs AKIN
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KDIGO http://www.kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf
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Back-calculation of creatinine
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KDIGO
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CKD chronic kidney disease
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AKD
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Non-AKI AKD No-AKIAKI AKD
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Real-time GFR and creatinine values before and during an episode of acute kidney injury (AKI)
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3.0/1.4=2.14 (3.0-1.4)/1.4=1.14 (114%)
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Creatinine Serum creatinine will then rise over hours to days, before a new steady state is reached Estimated GFR (eGFR) will take days before it reflects the true GFR!! The creatinine rise used to detect AKI may be measured as a percentage or an absolute rise % - takes more account of muscle mass absolute - may identify AKI earlier
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Oliguria as an indicator of AKI
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