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<< Acute Kidney Injury in Pediatric Patients: Diagnosis and Management in the Emergency Department (Pharmacology CME)

Risk Management Pitfalls in Pediatric Patients With Acute Kidney Injury

1. “The rise in creatinine was minimal and the patient was classified in the Risk category of AKI. There was no need to consult nephrology, since this category does not lead to any longterm consequences.”

AKI is not a static process, but can progress throughout the course of a patient’s illness based on the etiology and the management they receive. Thus, AKI in a patient who is in the Risk stage that is not caught early could continue to progress to worsening stages, particularly if the patient has a serious illness, such as sepsis. When AKI is identified, a nephrology consult should be considered, as all patients may be at risk for long-term consequences and should have follow-up even when ”recovered.”

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