Navigation for Departments

AKI Referrals for Grade 3

increase ≥3 times baseline creatinine
orincrease ≥354 μmol/L baseline creatinine
oron renal replacement therapy

<0.3 mL/kg/ hr for > 24 hrs

or anuria for 12 hrs

arrow icon

arrow icon

ALL GRADE 3

with

No evidence of obstruction

ALL GRADE 3

with

Obstruction on USS

arrow icon

arrow icon

Renal on-call

Aim transfer to Ward 7b, GRH

Aim for transfer within 24 hours

(see AKI transfer policy)

Urology on-call

If nephrostomy required proceed

immediately (NCEPOD standard)

Simultaneous discussion with ITU
and Renal on-call

 

arrow icon

If patient too ill for transfer (see AKI transfer policy)

Contact ITU team

arrow icon

Institute AKI care bundle while transfer pending

arrow icon

Appropriate investigations for Renal referrals

HR, RR, BP, Saturations

FBC, Renal Profile, ABG/lactate

ECG & CXR

Baseline creatinine level

Urine dipstick

USS if obtained

Comorbid history

MRSA status

Whether diarrhoea in last 48 hours