The session about Acute Kidney Injury (AKI), I learned an in-depth knowledge of anatomy and physiology of the kidneys, the definition and classification of AKI, its pathophysiology, clinical features, and the priorities in managing this condition. The session highlighted the importance of early detection, prompt intervention and continuous management to prevent the progression of AKI and its related complications.

AKI is a sudden drop in kidney function, usually due to another illness, and it has high death rates. The stages of AKI, determined by serum creatinine and urine output, provided a clear framework for assessing the severity of the condition. Additionally, understanding the different causes of AKI such as pre-renal, renal and post renal was crucial for identifying the underlying issues and guiding treatment.

Upon reflecting on this session, I realise the significant role of early detection and intervention in managing AKI. The comprehensive examination of renal functions and nephron mechanisms especially the glomerular filtration, tubular reabsorption, and tubular secretion demonstrated that even slight alterations in kidney function can lead to considerable systemic effects

The session emphasis in recognising risk factors and clinical indicators of AKI, such as changes in blood pressure, heart rate and laboratory results. It enhanced my understanding of the condition’s clinical presentation. This understanding is important for the promptly recognising AKI, especially in high risk patients such as with chronic kidney disease, heart failure or diabetes.

Moreover, the discussion on the management priorities for AKI, including fluid resuscitation, monitoring of vital signs, electrolyte management and the use of diuretics and renal replacement therapy, has provided me with a solid foundation for patient care. The focus on continuous monitoring and the necessity for prompt escalation of care, especially instances of severe complications like hyperkalaemia and pulmonary oedema, highlighted the critical need for vigilance in the management of AKI.

in the future, I will use this knowledge by being more proactive in identifying and managing patient at risk of AKI. I will ensure that I am familiar with the established staging criteria of AKI and use it to guide treatment decision, I will prioritise the early recognition of signs and symptoms of AKI, such as oliguria, electrolyte imbalances, and changes in mental statues, to initiate timely interventions.

I will also be more attentive in regular monitoring of blood tests and vital signs in patient with or at risk of AKI, ensuring that any deterioration is promptly addressed. I will also collaborate with the multidisciplinary team as it is crucial to managing AKI.

Finally, I will make an effort in educatiing patients and their families about the risks and signs of AKI, especially those with chronic conditions that predispose them to kidney injury. This will include discussing the importance of hydration, monitoring urine output, and seeking medical attention for any concerning symptoms. By doing so, I hope to contribute to better patient outcomes and reduce the incidence of severe AKI-related complications.

K1 , K4, K6, K9, K14, K16, K20, K21,K22, K23, K24, K38

S Skills

S1, S2, S3,S6, S7, S40,

Behaviours

B1, B2, B3