《急性肾损伤指南解读》ppt课件.ppt

KDIGO急性肾损伤指南解读;KDIGO Clinical Practice Guideline for Acute Kidney Injury;GRADE 系统;总推荐条目87条;内容;Stage Serum creatinine Urine output 1 1.5–1.9 times baseline OR 0.5 ml/kg/h for ≥0.3 mg/dl (≥ 26.5 mmol/l) increase 6–12 hours 2 2.0–2.9 times baseline 0.5 ml/kg/h for ≥12 hours 3 3.0 times baseline OR Increase in serum creatinine to 0.3 ml/kg/h for ≥ 4.0 mg/dl (≥ 353.6 mmol/l) ≥ 24 hours OR OR Initiation of renal replacement therapy Anuria for ≥ 12 hours OR, In patients 18 years, decrease in eGFR to 35 ml/min per 1.73 m2;The cause of AKI should be determined whenever possible. (Not Graded);We recommend that patients be stratified for risk of AKI according to their susceptibilities and exposures. (1B) Manage patients according to their susceptibilities and exposures to reduce the risk of AKI . (Not Graded) Test patients at increased risk for AKI with measurements of SCr and urine output to detect AKI. (Not Graded) Individualize frequency and duration of monitoring based on patient risk and clinical course. (Not Graded); Exposures Susceptibilities Sepsis Dehydration or volume depletion Critical illness Advanced age Circulatory shock Female gender Burns