Acute kidney injury (AKI), a sudden reduction in kidney function, is seen in some people with covid-19 infection. A subset of patients develop severe AKI and require renal replacement therapy (RRT). As in many settings, the development of AKI is associated with an increased risk of mortality. Although our understanding is incomplete, a picture is emerging from case reports and autopsy series of covid-19 specific causes of AKI. Intrinsic renal pathology including thrombotic vascular processes, viral mediated tubular cell injury, and glomerulonephritis have been reported, as well as AKI resulting from extrinsic factors such as fluid depletion, multi-organ failure, and rhabdomyolysis. Anecdotal reports have emerged of proximal tubular injury with Fanconi syndrome that manifests as hypokalaemia, hypophosphataemia, normal anion gap metabolic acidosis, and hypovolaemia from salt wasting. Importantly, AKI can occur at all stages of covid-19 infection, so clinical vigilance and consideration of risk factors for AKI alongside early detection and diagnosis are essential components of general supportive care. Fluid management is central to this.
Covid-19 and acute kidney injury in h... - Lung Conditions C...
Covid-19 and acute kidney injury in hospital: summary of NICE guidelines.
![2greys profile image](https://images.hu-production.be/avatars/a9ca17ff0998af8a344aa9e934606936_small@2x_100x100.jpg)
Written by
![2greys profile image](https://images.hu-production.be/avatars/a9ca17ff0998af8a344aa9e934606936_small@2x_100x100.jpg)
2greys
To view profiles and participate in discussions please or .
Read more about...
2 Replies
•
IMHO (In My Honest Opinion) the list of reasons to stay shielded keeps growing.
Not what you're looking for?
You may also like...
Covid 19
separate invites from two sources.. Book in for your Covid 19 spring booster 🤦♀️ never had one in...
Covid 19 Spring Booster (4th jab)
so that if he would be less likely to contract Covid 19 and pass it on to his wife.
Really annoyed
Six distinct 'types' of COVID-19 identified.
clinical management of COVID-19, and could help doctors predict who is most at risk and likely to...
Study finds over 80 percent of COVID-19 patients have vitamin D deficiency.
was more prevalent in men.
Over 80 percent of 200 COVID-19 patients in a hospital in Spain have...
Covid 19 and emphysema
emphysema scarring on left lung ...6 months ago had covid 19 xrays etc showed no problems 6 months...