Sick Day rules

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:
    • Metformin
    • ACE inhibitors and angiotensin II antagonists
    • Diuretics
    • NSAIDs
    • SGLT-2 inhibitors


(Ref – COMPASS Therapeutic Notes on the Management of Type 2 Diabetes Mellitus, 2016)