EP-06 Acute Kidney Injury – Practical Questions for Internists with Dr. Amanda Vinson

In this episode, Dr. Meredith Chiasson and Dr. Peter Gregory speak with Dr. Amanda Vinson – nephrologist and kidney transplant clinician-researcher with Nova Scotia Health and associate professor of medicine at Dalhousie University – about practical approaches to managing acute kidney injury (AKI). Dr. Vinson shares how the approach to AKI has evolved, with a growing emphasis on early recognition, careful monitoring, and thoughtful follow-up. She outlines what to prioritize in the first 24 hours, when AKI should prompt further investigation or consultation, and how to navigate common challenges like fluid management and medication decisions. The episode also highlights the importance of follow-up care, emphasizing that even mild or resolved AKI carries long-term risk and requires ongoing monitoring. Listeners of this episode will gain insights into: · Key priorities in the first 24 hours of AKI management · When AKI is not following the expected course – and what to do next · Practical approaches to fluid management in complex patients · How to manage common medications in both acute and outpatient settings · Why AKI should be treated as a long-term risk factor Clinical Currents is produced by the Dalhousie Department of Medicine for internal medicine physicians across the Maritimes. This podcast is for professional education only and should not be taken as personal medical advice. Content reflects Canadian practice unless otherwise noted.