Acute Kidney Injury (AKI) is a sudden decline in kidney function that can occur over hours or days and is commonly encountered in hospitalized and critically ill patients. Prompt recognition and appropriate fluid resuscitation are fundamental to reversing kidney injury, preventing progression, and reducing mortality. At International Modern Hospital (IMH), AKI management is delivered through an integrated nephrology, emergency medicine, and critical care framework.

Fluid imbalance is one of the leading contributors to AKI, particularly in cases related to dehydration, blood loss, sepsis, heart failure, or perioperative complications. IMH follows evidence-based protocols to assess volume status accurately using clinical examination, laboratory markers, imaging, and hemodynamic monitoring.

Fluid resuscitation strategies are individualized based on the cause of AKI, patient comorbidities, and cardiovascular status. Isotonic crystalloids are commonly used for volume replacement, while careful monitoring prevents fluid overload, which can worsen kidney injury and respiratory status.

Nephrologists work closely with intensivists to determine optimal fluid type, rate, and duration. Continuous reassessment ensures that resuscitation supports kidney perfusion without causing secondary complications such as pulmonary edema.

AKI care at IMH also includes medication review to identify and discontinue nephrotoxic drugs, correction of electrolyte imbalances, and treatment of underlying causes such as infection or obstruction. Early nephrology involvement is critical in improving outcomes and reducing the need for dialysis. Through early intervention, precise fluid management, and multidisciplinary collaboration, IMH delivers comprehensive acute AKI care focused on recovery and long-term kidney preservation.