Patient example of the Kidney Health Assessment and Response. The following case illustrates how the Kidney Health Assessment (KHA) and Response (KHR) may be applied to patient care. The risk of acute kidney injury (AKI) is displayed on the y-axis, which changes at each medical encounter on the x-axis, based on the patient’s susceptibility for AKI and acute exposures (both axes are not drawn to scale). In some instances, application of the KHA and KHR are able to decrease the risk of AKI (eg, detection of hypotension in a patient with diarrhea and subsequent temporary cessation of diuretics).
ACE-I = angiotensin-converting-enzyme inhibitor; NSAIDs = nonsteroidal anti-inflammatory drugs; Scr = serum creatinine.