Acute kidney failure resident survival guide: Difference between revisions
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===Common Causes=== | ===Common Causes=== | ||
* [[ | * [[pre renal hypoperfusion that lead to acute tubular necrosis]] | ||
* [[ | * [[post operative acute tubular necrosis]] | ||
* [[ | * [[hospital acquired radiocontrast nephropathy]] | ||
* [[Common cause 4]] | * [[Common cause 4]] | ||
* [[Common cause 5]] | * [[Common cause 5]] | ||
Revision as of 21:47, 27 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Acute Renal Failure is an abrupt reduction in kidney function defined as at-least one of the following:
1. an absolute increase in the serum levels of creatinine of 26.4 μmol/L(0.3mg/dl) or more;
2. a percentage increase in the serum levels of creatinine of more than 50%(1.5 fold increase from baseline); or
3. a reduction in volume of urine output(oliguria <0.5 ml/kg hourly for >6 hours.[1]
Acute renal failure is increasingly common, particularly in elderly population, hospital inpatients, and critically ill patients and it carries a high mortality. The most common cause of in-hospital acute renal failure in acute tubular necrosis resulting from multiple nephrotoxic insults such as sepsis, hypotension, and use of nephrotoxic drugs or radio-contrast media. Patients at risk include elderly people, diabetics, patients with hypertension or vascular disease, and those pre-existing renal impairment.[2]
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
- pre renal hypoperfusion that lead to acute tubular necrosis
- post operative acute tubular necrosis
- hospital acquired radiocontrast nephropathy
- Common cause 4
- Common cause 5
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ Hilton R (2011). "Defining acute renal failure". CMAJ. 183 (10): 1167–9. doi:10.1503/cmaj.081170. PMC 3134724. PMID 21624906.
- ↑ Hilton R (2006). "Acute renal failure". BMJ. 333 (7572): 786–90. doi:10.1136/bmj.38975.657639.AE. PMC 1601981. PMID 17038736.
- ↑ Hilton R (2011). "Defining acute renal failure". CMAJ. 183 (10): 1167–9. doi:10.1503/cmaj.081170. PMC 3134724. PMID 21624906.