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Fluid overload secondary to oliguric AKI is a particular risk for elderly patients with limited cardiac reserve.
In cardiac patients who experience AKI either in the setting of acute decompensated heart failure or cardiac surgery, AKI is associated with worse morbidity and mortality.
(See Etiology and History.) Patients who develop AKI can be oliguric or nonoliguric, can have a rapid or slow rise in creatinine levels, and may have qualitative differences in urine solute concentrations and cellular content.
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