Acute Kidney Injury

Acute Kidney Injury (AKI)

Occurs when kidney failure or damage occurs abruptly, (within a few hours or few days). This acute kidney injury leads to a build-up of waste products in your blood along with making it difficult for your kidneys to balance the amount of fluids in your body. AKI often occurs in a hospital setting such as patients in intensive care units. It is important that AKI is found quickly because it can lead to kidney failure, chronic kidney disease, congestive heart failure or even death.

Causes:

  • Hypotension- low blood pressure.
  • Organ failure – heart, liver.
  • Blood or fluid loss -bleeding or diarrhea.
  • Heart attack, heart failure- conditions leading to acute decreased heart function.
  • Sepsis- life-threating infection.
  • Multiple myeloma- type of cancer.
  • Vasculitis – a rare condition causing inflammation and scarring on microscopic capillaries making them stiff, narrow, and weak.
  • Scleroderma- diseases that affect the connective tissue that supports your internal organs.
  • Tubular necrosis, glomerulonephritis, thrombotic microangiopathy- conditions that cause inflammation or damage to the kidney tubules in the small vessels in your kidneys.
  • Overuse of NSAID, pain medicines like ibuprofen, ketoprofen, naproxen, used to reduce headaches, swelling, and pain.
  • Major surgery.
  • Trauma- burns, gunshot wounds, falls.
  • Severe allergic reactions.
  • Obstruction of urine – acute benign prostatic hyperplasia (out flow of urine out of the bladder), cystocele, bladder neck obstruction.

Symptoms:

  • Swelling in legs, ankles, and around the eyes.
  • Too little urine leaving the body.
  • Shortness of breath.
  • Seizures (coma in severe cases).
  • Chest pain or pressure.
  • In some cases AKI causes no symptoms in the patient so, the only way to detect it is through blood tests.