Mr Patel is transferred to the renal ward and a femoral venous catheter is inserted for haemodialysis (HD). He receives 2 hours of HD and his post dialysis potassium is 4.4.
The following day he receives a further session of HD as he continues to be oligo anuric.
Further development
The next day his urine output starts to pick up to 40-50 ml/hour. Repeat bloods show:
- Sodium 140
- Potassium 4.8
- Urea 12.7
- Creatinine 198
- Bicarbonate level 22
He is off of oxygen and his O2 sats are 96% on room air. The decision is made not to dialyse him that day.
The following day his urine output remains good and his creatinine is 172 µmol/L. He is transferred back to the cardiothoracic ward from where he is discharged.
He is seen in the AKI clinic 3 months late with a creatinine of 180 µmol/L.