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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. 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.