title: Paediatrics - AKI & RRT tags: #FFICM notebook: ð-FFICM
Acute Kidney Injury
- RIFLE
- pRIFLE
- KDIGO
- Scharz
pRIFLE
It is affected by:
- Creatinine clearance (rather than creatinine)
- Urine Output
AKIN
- This doesn't use GFR or baseline creatinine
- It uses current refence creatinine and change to new
- Plus Urine Output
Has stages 1-3
KDIGO
- Uses creatinine and urine output
- Has stages 1-3
AKI IN PICU
~ 30% of PICU admissions - 2/3 of these < 48hrs (with a 5% Mortality) - 1/3 of these > 48hrs (with a 17% Mortality)
Fluid Overload
- Fluid overload of >10% is asociated with greater mortality, length of stay, length of ventilation
Furosemide
- 0.05-0.2mg/kg/hr
- 0.5mg/kg - 1mg/kg as bolus doses (around 3x/day)
CRRT Indications in Paeds
- Same as adults
Heparin Aims
- 0.3-05 for CRRT (prophylactic)
- 0.5 for actual anticoaculation