Understanding Acute Kidney Injury in the Indian Context
Acute kidney injury (AKI) is common after infections like dengue, malaria, or sepsis, and following complex surgeries. Telangana's monsoon outbreaks and rising drug-resistant infections increase AKI risk. Ajuda Hospitals delivers rapid diagnostics and nephro-critical care protocols to prevent long-term kidney damage.
Early recognition is crucial. Our emergency department uses triage triggers for reduced urine output, rising creatinine, or severe vomiting. Patients from districts such as Nalgonda and Karimnagar can access our tele critical-care consults while transport is arranged.
When to Consult Our AKI Specialists
⚠️ Seek Immediate Care If You Experience:
- ✓ Little to no urine over 12 hours
- ✓ Sudden swelling of legs, face, or lungs
- ✓ Confusion, seizures, or persistent vomiting
- ✓ Severe infection symptoms with rising creatinine
If you recently underwent major surgery, imaging with contrast, or started new medications and feel unwell, contact us immediately. Timely intervention can avert dialysis dependency.
Our Diagnostic Approach
Rapid Labs & Imaging
Point-of-care creatinine, serum electrolytes, and ABG results guide immediate therapy. Ultrasound checks for obstruction or fluid overload.
Haemodynamic Evaluation
Nephrologists and intensivists work together to optimise fluids, vasopressors, and treat shock or sepsis.
Etiology Identification
We review medications, toxins, infections, and autoimmune triggers. Additional tests (ANA, complements) tailor treatment.
Recovery Monitoring
KDIGO staging and urine trends guide dialysis decisions. Digital dashboards flag improvements or setbacks, ensuring no detail is missed.
Treatment Pathways
Our AKI roadmap follows global KDIGO and Indian Society of Nephrology guidelines:
- Stabilise & Support: Correct fluids, electrolytes, and blood pressure with ICU monitoring.
- Dialysis Readiness: SLED/CRRT for haemodynamic instability; intermittent HD for stable patients.
- Treat the Trigger: Source control for infections, antidotes for toxins, and medication review.
- Recover & Rehabilitate: Physiotherapy, nutrition, and renal recovery clinics restore strength.
- Prevent Recurrence: Education on safe medications, hydration, and follow-up labs.
- Tele Follow-up: Remote reviews ensure rural patients sustain progress.
What to Expect: Your Care Journey
- Emergency Response: Within 45 minutes of arrival, nephrologist assessment, labs, and AKI staging initiated.
- Critical Phase (Days 1-3): Dialysis or medical management delivered with continuous monitoring.
- Stabilisation (Week 2): Transition to ward care, physiotherapy, and discharge planning with home instructions.
- Recovery Clinic (Months 1-6): Scheduled visits to monitor creatinine, blood pressure, and reduce CKD risk.
Technology & Innovation
Our AKI Alert Algorithm scans EMR data to detect creatinine spikes or reduced urine output in admitted patients. Tele critical-care covers network hospitals in Warangal and Karimnagar, ensuring early guidance even before transfer. Portable ultrasound and POCUS ensure bedside decisions.
Preventing Complications
We prevent fluid overload, electrolyte disturbances, and infections through strict protocols. Medication audits avert repeat exposure to nephrotoxic drugs. Early rehabilitation combats muscle wasting after ICU stays.
Why Ajuda for AKI Care?
🚨 Rapid Response Team
Nephrologist, intensivist, and dialysis nurses available round-the-clock for emergencies.
🧬 Cause-Focused Care
Comprehensive evaluation for infections, toxins, and autoimmune triggers to prevent recurrence.
📱 Post-ICU Follow-up
Tele reviews and rehab clinics ensure long-term recovery even for outstation patients.
Take the First Step
Do not delay if you suspect acute kidney injury. Ajuda Hospitals provides swift critical care, dialysis options, and structured recovery plans. Call 9010550550 or message us on WhatsApp for immediate support.