Sick Day Rules
- Acute kidney injury (AKI) is a sudden and recent reduction in a person’s kidney function.
- Renal function is vulnerable to modest reductions in blood pressure or blood volume, including dehydration arising from diarrhoea or vomiting.
- 1 in 5 people admitted to hospital each year as an emergency has acute kidney injury.
- Patients and carers should be educated to temporarily discontinue selected medications if they develop vomiting, diarrhoea or infections associated with increased fluid losses. These medicines include:
-
- Metformin
- ACE inhibitors and ARBs
- Diuretics
- NSAIDs
- SGLT-2 inhibitors
- GLP-1 receptor agonists
- Some sulfonylureas
- Trimethoprim
- See NICE CKS and Polypharmacy: Manage Medicines websites for further guidance.
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