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Discharge Instructions for Acute Kidney Injury

You have been diagnosed with acute kidney injury. This means that your kidneys are not working properly. When both kidneys are healthy, they help filter out fluid and waste from the blood and body. Acute kidney injury has many causes including urinary blockages, infection, lack of enough blood supply, and medications that can injre kidneys. In some cases, acute kidney injury is temporary, lasting several days to a few months, because the kidney has the capacity to repair itself. But, it may also result in chronic kiddney disease or end stage renal failure. Here are some instructions for you to follow as you recover.

Home care

  • Follow any instructions for eating and drinking given to you by your doctor.

    • Drink less fluid, if instructed by your doctor.

    • Keep a record of everything you eat and drink.

  • Measure the amount of urine and stool you have each day.

  • Weigh yourself every day, at the same time of day, and in the same kind of clothes. Keep a daily record of your daily weights.

  • Take your temperature every day. Keep a record of the results.

  • Learn to take your own blood pressure. Keep a record of your results. Ask your doctor when you should seek emergency medical attention. He or she will tell you which blood pressure reading is dangerous.

  • Avoid contact with people who have infections (colds, bronchitis, or skin conditions).

  • Practice good personal hygiene. This is especially important if you have a catheter in place when you leave the hospital. Doing so helps keep you safe from infection.

  • Take your medications exactly as directed.

  • You may require frequent blood and urine tests to monitor your kidney function.

Follow-up care

Make a follow-up appointment as directed by our staff.

 

When to seek medical care

Call your doctor right away if you have any of the following:

  • Signs of bladder infection (urinating more often than usual; burning, pain, bleeding, or hesitancy when you urinate)

  • Signs of infection around your catheter (redness, swelling, warmth, or drainage)

  • Rapid weight loss or gain, such as 3 pounds or more in 24 hours or 6 pounds or more in 7 days

  • Fever above 100.4°F or chills

  • Muscle aches

  • Night sweats

  • Very little or no urine output

  • Swelling of your hands, legs, or feet

  • Back pain

  • Abdominal pain

  • Extreme tiredness

 

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