Acute kidney injury primary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Acute kidney injury}} | {{Acute kidney injury}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{F.K}} | ||
==Overview== | ==Overview== | ||
Effective measures for the primary prevention of acute kidney injury include volume expansion and/or fluid therapy, optimization of [[Blood pressure medication|blood pressure]],tight [[glycemic control]], avoidance of drug- and nephrotoxin-induced AKI, recheck renal function 48-72 hours following the radiological contrast media, and low doses of [[Corticosteroid|corticosteroids]] in [[septic shock]] patients. | |||
[ | |||
==Primary Prevention== | ==Primary Prevention== | ||
* | *Effective measures for the primary prevention of acute kidney injury include:<ref name="KellumLeblanc2006">{{cite journal|last1=Kellum|first1=John A|last2=Leblanc|first2=Martine|last3=Gibney|first3=R T. Noel|last4=Tumlin|first4=James|last5=Lieberthal|first5=Wilfred|last6=Ronco|first6=Claudio|title=Primary prevention of acute renal failure in the critically ill|journal=Current Opinion in Internal Medicine|volume=5|issue=1|year=2006|pages=74–78|issn=1535-5942|doi=10.1097/01.ccx.0000179934.76152.02}}</ref><ref name="LameireVan Biesen2008">{{cite journal|last1=Lameire|first1=N.|last2=Van Biesen|first2=W.|last3=Hoste|first3=E.|last4=Vanholder|first4=R.|title=The prevention of acute kidney injury: an in-depth narrative review Part 1: volume resuscitation and avoidance of drug- and nephrotoxin-induced AKI|journal=Clinical Kidney Journal|volume=1|issue=6|year=2008|pages=392–402|issn=2048-8505|doi=10.1093/ndtplus/sfn162}}</ref><ref name="pmid25484464">{{cite journal |vauthors=Harty J |title=Prevention and management of acute kidney injury |journal=Ulster Med J |volume=83 |issue=3 |pages=149–57 |date=September 2014 |pmid=25484464 |pmc=4255835 |doi= |url=}}</ref><ref name="pmid11696540">{{cite journal |vauthors=Park KM, Kramers C, Vayssier-Taussat M, Chen A, Bonventre JV |title=Prevention of kidney ischemia/reperfusion-induced functional injury, MAPK and MAPK kinase activation, and inflammation by remote transient ureteral obstruction |journal=J. Biol. Chem. |volume=277 |issue=3 |pages=2040–9 |date=January 2002 |pmid=11696540 |doi=10.1074/jbc.M107525200 |url=}}</ref> | ||
**Volume expansion and/or fluid therapy | |||
**Optimization of [[Blood pressure medication|blood pressure]] | |||
**Tight [[glycemic control]] | |||
** | **Avoidance of [[drug]]- and nephrotoxin-induced AKI | ||
**[ | **Recheck renal function 48-72 hours following the radiological [[contrast media]] | ||
**[ | **Low doses of [[corticosteroids]] in [[septic shock]] patients | ||
*[ | |||
**[ | |||
**[ | |||
==References== | ==References== |
Latest revision as of 16:41, 27 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Effective measures for the primary prevention of acute kidney injury include volume expansion and/or fluid therapy, optimization of blood pressure,tight glycemic control, avoidance of drug- and nephrotoxin-induced AKI, recheck renal function 48-72 hours following the radiological contrast media, and low doses of corticosteroids in septic shock patients.
Primary Prevention
- Effective measures for the primary prevention of acute kidney injury include:[1][2][3][4]
- Volume expansion and/or fluid therapy
- Optimization of blood pressure
- Tight glycemic control
- Avoidance of drug- and nephrotoxin-induced AKI
- Recheck renal function 48-72 hours following the radiological contrast media
- Low doses of corticosteroids in septic shock patients
References
- ↑ Kellum, John A; Leblanc, Martine; Gibney, R T. Noel; Tumlin, James; Lieberthal, Wilfred; Ronco, Claudio (2006). "Primary prevention of acute renal failure in the critically ill". Current Opinion in Internal Medicine. 5 (1): 74–78. doi:10.1097/01.ccx.0000179934.76152.02. ISSN 1535-5942.
- ↑ Lameire, N.; Van Biesen, W.; Hoste, E.; Vanholder, R. (2008). "The prevention of acute kidney injury: an in-depth narrative review Part 1: volume resuscitation and avoidance of drug- and nephrotoxin-induced AKI". Clinical Kidney Journal. 1 (6): 392–402. doi:10.1093/ndtplus/sfn162. ISSN 2048-8505.
- ↑ Harty J (September 2014). "Prevention and management of acute kidney injury". Ulster Med J. 83 (3): 149–57. PMC 4255835. PMID 25484464.
- ↑ Park KM, Kramers C, Vayssier-Taussat M, Chen A, Bonventre JV (January 2002). "Prevention of kidney ischemia/reperfusion-induced functional injury, MAPK and MAPK kinase activation, and inflammation by remote transient ureteral obstruction". J. Biol. Chem. 277 (3): 2040–9. doi:10.1074/jbc.M107525200. PMID 11696540.