Acute Kidney Injury : Gerontologic considerations
- Gerontologic considerations
- More susceptible to AKI
- Dehydration
- Polypharmacy- diuretics, laxatives
- Illness and immobility
- Dehydration
- Hypotension
- Diuretic therapy
- Aminoglycoside therapy
- Obstructive disorders
- Surgery
- Infection
- More susceptible to AKI
- Chronic Kidney Disease
- Progressive, irreversible loss of kidney function
- Mortality rates are as high as 19% to 24% for individuals with ESRD on dialysis
- Many different causes, the leading causes are
- Diabetes (about 50%)
- Hypertension (about 25%).
- Less common etiologies include glomerulonephritis, cystic diseases, and urologic diseases.
- Stages of Chronic Kidney Disease
Description | GFR (mL/min/1.73 m2) | Clinical Action Plan |
Stage 1 Kidney damage with normal or increased GFR | ≥90 | Diagnosis and treatment CVD risk reduction Slow progression |
Stage 2 Kidney damage with mild decreased GFR | 60-89 | Estimation of progression |
Stage 3a Moderate decreased GFR | 45-59 | Evaluation and treatment of complications |
Stage 3b Moderate decreased GFR | 30-44 | More aggressive treatment of complications |
Stage 4 Severe decreased GFR | 15-29 | Preparation for renal replacement therapy (dialysis, kidney transplant) |
Stage 5 Kidney failure | <15 (or dialysis) | Renal replacement therapy (if uremia present and patient desires treatment) |