Medications in AKI

Question 1

Paracetamol

Answer 1

Usually safe to continue in AKI

Question 2

Warfarin

Answer 2

Usually safe to continue in AKI

Question 3

Statins

Answer 3

Usually safe to continue in AKI

Question 4

Aspirin (at a cardioprotective dose of 75mg od)

Answer 4

Usually safe to continue in AKI

Question 5

Clopidogrel

Answer 5

Usually safe to continue in AKI

Question 6

Beta-blockers

Answer 6

Usually safe to continue in AKI

Question 7

NSAIDs (except if aspirin at cardiac dose e.g. 75mg od)

Answer 7

Should be stopped in AKI as may worsen renal function

Question 8

Aminoglycosides

Answer 8

Should be stopped in AKI as may worsen renal function

Question 9

ACE inhibitors

Answer 9

Should be stopped in AKI as may worsen renal function

Question 10

Angiotensin II receptor antagonists

Answer 10

Should be stopped in AKI as may worsen renal function

Question 11

Diuretics

Answer 11

Should be stopped in AKI as may worsen renal function

Question 12

Metformin

Answer 12

May have to be stopped in AKI as increased risk of toxicity (but doesn’t usually worsen AKI itself)

Question 13

Lithium

Answer 13

May have to be stopped in AKI as increased risk of toxicity (but doesn’t usually worsen AKI itself)

Question 14

Digoxin

Answer 14

May have to be stopped in AKI as increased risk of toxicity (but doesn’t usually worsen AKI itself)