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Since May 2014, NHS Salford Clinical Commissioning Group (CCG) and Salford Royal NHS  Foundation Trust (SRFT) have been working together to prevent acute kidney injury (AKI) and improve kidney care. In December 2014, we formed a new group, SPARC (Salford Partnership for Advancing Renal Care), which brought together all primary and secondary care initiatives to ensure a shared strategy and optimise kidney care across the City….

“Stop Kidney Attack!” at STH – Louise Wild RN and Sarah Sampson RN, AKI Nurse Educators and Yvonne Bernes RN, Acute Renal Practitioner at Sheffield Teaching Hospitals describe what they’ve been doing to change practice and raise awareness of AKI. The Sheffield Teaching Hospitals NHS Foundation Trust is running a Trust wide AKI project. This includes an education programme which aims to better equip Doctors, Nurses…

Mr W is a 75 year old man, with insulin dependent diabetes and atrial fibrillation. He is generally fit and well. In November 2013, the patient had an episode of diarrhoea at home, had continued to take all prescribed medications and insulin, and was admitted to A&E department. He remained an inpatient for four days. Pre-admission: BP 110/65 Urine: creatinine- 63mmol/L. Microalbumin 3.0mg/L ACR Ratio 0.48g/mol4…

J is a seven year old boy with a history of Henoch Schonlein purpura (HSP). He presented with a typical purpuric rash and joint pain and he was managed with oral analgesia and anti-inflammatory medication (paracetamol, ibuprofen). Symptoms resolved over two weeks, however daily urinalysis detected persistent proteinuria from week three to seven. His baseline creatinine was maintained at 35-40 umol/l. J had a renal biopsy,…

Katy is a ten year old girl with a history of acute myeloid leukaemia. She underwent bone marrow transplantation (BMT) and was receiving immunosuppression with ciclosporin. Katy developed a persistent fever and was commenced on intravenous benzypenicillin and gentamicin. She had daily blood investigations and seven days following the bone marrow transplant her serum creatinine (SCr) began to rise from her baseline (40umol/l). She continued to…