Monitoring

If recovery of function is complete and a normal glomerular filtration rate is re-established with no evidence of residual kidney injury, no kidney follow-up is required.

If the patient is left with residual chronic kidney disease (CKD) after AKI, a nephrologist follow-up is recommended with interventions based on stage of CKD.[226]

The National Kidney Foundation KDOQI guidelines include recommendations regarding the management of patients who have developed CKD subsequent to AKI.[227] Management of chronic intrinsic kidney diseases (e.g., glomerulonephritis and vasculitis) requires nephrologist intervention to manage therapies including corticosteroids, cytotoxic drugs, and immune-modifying drugs. Adverse effects and toxicities require close observation.

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