It is essential that within the first 24 to 48 hours after an acute kidney injury (AKI) alert has been triggered from the patient’s blood results, that the four pillars of the STOP AKI approach are used:

1. SEPSIS - query infection by following BUFALOS7
2. TOXINS – stop/avoid
3. OPTIMISE - BP/Volume Status
4. PRESCRIBING - Review medication doses, review fluid prescription and treat complications – hyperkalaemia/acidaemia

Using this basic approach increases chances of more positive outcomes for patients. It reduces the risk of requiring an ICU stay, mortality and length of stay.

Please note the following must dos:

• Clinicians should use the AKI powerplan (found via requests/careplans) and document in the CHFT AKI bundle (documents/preconfigured/CHFT AKI Bundle). Find the guidelines in the Policies and Documents Library.
• Nursing staff should record fluid balance every four hours (including ALL oral intake). Inaccurate documentation should now be recorded on InPhase