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Renal
One-Hour Concurrent Session

Avoiding the Multiplication of Multiorgan Failure in AKI

Sunday, February 23, 2025
11:45am – 12:45pm Eastern Time
Location: W224GH
CE: 1

This session will describe how to avoid the papercuts of patient care that ultimately worsen patient morbidity and mortality and how to limit iatrogenesis imperfecta in the course of acute kidney injury (AKI). Specifically, in the setting of sepsis, shock, and multiorgan failure, the influence of AKI on non-kidney organ function (heart, lung, brain, immunity, gut, hematologic) will be discussed, as well as the nuts and bolts of optimizing and advocating for attention to fluid and regulation, optimizing drug delivery and pharmacotherapy, data on integration of nutrition, setting goals and practicing safe kidney support therapies, patient mobility and liberation, and educating the family and patient about short- and longer-term consequences of AKI in critical illness.

Learning Objectives:

  • Discuss how to optimize nutrition and drug delivery for patients with acute kidney injury (AKI), both on and off renal replacement therapy (RRT)
  • Recognize how to regulate and govern fluid balance in patients with AKI with influence on other vital organs, both on and off RRT
  • Appreciate how nursing and patients/families interfacing at the bedside in real time can expedite stabilization of multiorgan dysfunction in patients with AKI and set the stage for recovery

Presentations:

  • 11:50am – 12:00pm Eastern Time
    Feed the Beast: AKI Is Not a Barrier to the Gut

    Charlene Compher, PhD, RD (she/her/hers)

  • 12:00pm – 12:10pm Eastern Time
    Kidney Support Therapy Is More Than RRT

    Raj Basu, MD, MS, FCCM (he/him/his) – Ann & Robert H. Lurie Children's Hospital of Chicago

  • 12:10pm – 12:20pm Eastern Time
    Acid, Base, Fluid, and More

    Michael G S Shashaty, MD, MS, FCCM (he/him/his) – University of Pennsylvania

  • 12:20pm – 12:30pm Eastern Time
    The Goldilocks of Dosing

    Sandra Kane-Gill, MSc, PharmD, FCCP (she/her/hers) – University of Pittsburgh School of Pharmacy