Created: July 04, 2016
Patients who are diagnosed with acute kidney injury (AKI) may present in the critical care setting with multisystem involvement impacting: fluid and electrolyte balance; arterial blood pressure and acid-base regulation; and regulation of certain hormones. As a result, cognition, muscle function, mobility and activity tolerance may be affected. Therefore, physical therapists have a role in screening, examining, and providing intervention with this patient population in order to help minimize deleterious effects of bedrest and optimize movement. Careful review of the patient's medical record, vital sign monitoring, and ongoing communication with the medical team is essential to ensure patient safety at all times. A recommended resource for patients with kidney disease can be found at http://kdigo.org/home/guidelines/.