|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.
- Common groups of medications that are associated with increased incidence of AKI:
- ACE inhibitors and angiotensin II antagonists
- SGLT-2 inhibitors
(Ref – COMPASS Therapeutic Notes on the Management of Type 2 Diabetes Mellitus, 2016)