Acute kidney injury with fluid overload
Educational use only. Not clinically reviewed67-year-old woman for Fluid-balance stabilization. About 8 simulated minutes.
What you will practise
- Recognize severe AKI with harmful fluid accumulation and organ dysfunction.
- Review reversible AKI causes, urgent complications, kidney capacity, and treatment context.
- Stop nonessential accumulation and review the reported diuretic response with safety guardrails.
- Activate individualized kidney-support planning for refractory fluid demand.
- Reassess fluid, respiratory, kidney, hemodynamic, and metabolic trajectories.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Kidney Disease: Improving Global Outcomes. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney Int Suppl. 2012;2:1-138.
- Ostermann M, Bellomo R, Burdmann EA, et al. Controversies in acute kidney injury: conclusions from a KDIGO Conference. Kidney Int. 2020;98:294-309.
- STARRT-AKI Investigators. Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury. N Engl J Med. 2020;383:240-251.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.