Narrative Review: Acute Kidney Injury

Site:

AE:

Complication:

Event date:

Adverse event code:

• Demograghic: [age] year old [gender]
• Past Medical History: [eg. diabetes, CAD,...]
• Index Procedure Date/Time: xx/xx/xxxx at xx:xx [insert date and time]
• Index Procedure Detail:
  • On xx/xx/xxxx at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
  • Enter access site details
  • The site reported that there were/were not procedural complication(s).
• Event: MI
• Site Reported Event Onset Date: xx/xx/xxxx
• Event summary:
  • Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
  • Important characteristics of the chief complaint such as severity, site, and duration.
  • Other important symptoms related to the chief compliant.
  • Physical assessment:
  • Vital signs
  • Positive physical examinations or related negative examinations.
• Lab studies:
  • Bun/Cr levels

Date	Time	BUN/Cr	Na/K	Urine output
xx/xx/xxx	xx:xx
xx/xx/xxx	xx:xx
xx/xx/xxx	xx:xx

• • Other labratory:
    • Date/ name/ value

• ECG / date:

• ECHO / date:
• CXR / date:
• Other imaging and diagnostic tests / date:
• Consults:
  • Date / result:
• Clinical course:
• Dialysis:
  1. xx/xx/xxxx at xx:xx
  2. xx/xx/xxxx at xx:xx
  3. xx/xx/xxxx at xx:xx
  4. xx/xx/xxxx at xx:xx

• Treatment / date:
• Outcome: [Discharge / Hospice / Death]