Abdolghader Pakniyat
1, Parsa Yousefichaijan
2*1 Student Research Committee, Emergency department, Arak University of Medical Sciences, Arak, Iran
2 Department of Pediatric Nephrology, Arak University of Medical Sciences, Arak, Iran
Implication for health policy/practice/research/medical education:
Acute kidney injury (AKI) is the abrupt loss of renal function and it is typically manifested by an increase in serum creatinine. The emergency physician must perform a full physical examination and obtain accurate medical history particularly nephrotoxic agents. Initially workup should include complete blood cell count; electrolyte, calcium, phosphorus, blood urine nitrogen, serum creatinine levels; urinalysis with microscopy and culture; chest x-ray; and renal ultrasonography. Patients with mild renal insufficiency due to pyelonephritis, Henoch-Schönlein purpura, post-infectious glomerulonephritis, or dehydration can managed on an outpatient basis but a nephrology consultation is necessary for fallow up but patients with hypertension, sever electrolytes abnormality, fluid over load must be hospitalized.
Please cite this paper as: Pakniyat A, Yousefichaijan P. Evaluation and management of children with acute kidney injury in emergency department. J Nephropharmacol. 2015;4(2):83-84.