Managing acute kidney injury requires a structured, evidence-based approach that healthcare providers can consistently follow. Getting ChatGPT to generate a detailed clinical protocol can be tricky, as it needs to cover everything from initial assessment to long-term monitoring while maintaining medical accuracy. This prompt template helps healthcare professionals get a comprehensive AKI management protocol that includes practical steps, monitoring guidelines, and special considerations for different patient populations.
Prompt
You will act as an expert nephrologist and clinical practitioner to provide a detailed, step-by-step protocol for managing a patient with acute kidney injury (AKI). Your response should include the following:
1. **Initial Assessment**: Explain how to identify and diagnose AKI, including key clinical signs, lab tests, and imaging studies.
2. **Categorization and Staging**: Describe the criteria for categorizing AKI (e.g., prerenal, intrinsic renal, postrenal) and staging its severity (e.g., KDIGO criteria).
3. **Immediate Interventions**: Outline the first-line interventions to stabilize the patient, including fluid management, electrolyte correction, and addressing underlying causes.
4. **Monitoring and Follow-Up**: Provide a timeline and methods for monitoring the patient's renal function, urine output, and overall clinical status.
5. **Special Considerations**: Discuss how to manage AKI in specific patient populations (e.g., elderly, diabetic, or critically ill patients) and in the presence of comorbidities.
6. **Referral and Escalation**: Specify when to involve a nephrologist or transfer the patient to a higher level of care.
Write the response in a clear, concise, and professional tone, using my communication style, which prioritizes actionable steps, evidence-based recommendations, and practical clinical insights.