Acute renal failure: Recognition and prevention

Document Type

Article

Publication Date

1997

Publication Title

Lippincott's Primary Care Practice

Volume

1

Issue

4

First page number:

388

Last page number:

398

Abstract

Acute renal failure remains a devastating syndrome associated with a high mortality rate. Accurate and rapid etiologic diagnosis is critical, since it may be possible to stop the injurious process and prevent further progression of renal insufficiency. To do this, one must understand and differentiate among the three broad categories of disorders that can cause acute renal failure-prerenal, postrenal, and intrarenal processes. This article compares and contrasts these three categories in regard to causes and predisposing factors, history and physical examination, urinalysis, and urine chemistries. Treatment focuses on correcting prerenal and postrenal factors; treating acute complications, such as hyperkalemia, hyponatremia, acidosis, and pulmonary edema; optimizing cardiac output and renal blood flow; and adjusting doses of drugs consistent with renal failure.

Keywords

Acute renal failure – Treatment; Kidneys – Diseases – Treatment; Nephrology; Renal failure; Renal function

Disciplines

Nephrology | Nursing

Language

English

Permissions

Use Find in Your Library, contact the author, or use interlibrary loan to garner a copy of the article. Publisher copyright policy allows author to archive post-print (author’s final manuscript). When post-print is available or publisher policy changes, the article will be deposited


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