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Abstract Acute kidney injury (AKI) is a protean syndrome of varied severity. It is characterized by a rapid decline in the glomerular filtration rate (GFR) and retention of nitrogenous waste products such as blood urea nitrogen (BUN) and creatinine. AKI is diagnosed using blood urea, and serum creatinine levels, but serum creatinine is an unreliable indicator of kidney function during acute changes, as serum creatinine level can vary widely with age, gender, muscle mass, muscle metabolism, medications, and hydration status, another cause is that its concentration may not change until about 50% of kidney function has already been lost, at lower rates of glomerular filtration the amount of tubular secretion of creatinine results in overestimation of renal function, during acute changes in renal filtration, serum creatinine does not accurately depict kidney function until steady state equilibrium has been reached, which may require several days. |