By Carlos Rotellar
A short, transparent, useful, and funny method of acute renal insufficiency.
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Extra info for Acute Renal Insufficiency Made Ridiculously Simple (MedMaster Series, 2005 Edition)
HRoIII'c. » 5% STA~LE 30 "/t Figure 36 Prognosis. D. = end stage renal disease). ). v, contrast load), we should take the following precautions. v, fluids if necessary, and mannitol may be infused prophylactically (25 grams of mannitol in 500 ml of normal saline to be started one hour before the procedure at a rate of 100 ml/hr (Fig. 37». v, fluids be continued to avoid negative fluid balance secondary to the increased diuresis from the mannitol and the iodine-containing dye (high dose furosemide can also be used).
Sometimes it is difficult to differentiate between the two and a renal biopsy may be necessary for final diagnosis. Cyclosporine blood levels are measured routinely for dose adjustment and high levels should alert the physician to possible cyclosporine induced renal failure. The treatment in this case is to decrease the cyclosporine dose. , monoclonal antibodies). HRoIII'c. » 5% STA~LE 30 "/t Figure 36 Prognosis. D. = end stage renal disease). ). v, contrast load), we should take the following precautions.
It is unclear by which mechanism these measures may change the course of the ATN. In some circumstances the patients may respond to the use of diuretics with an increased urine output, but without a significant increase in the clearance of toxins. This is important because, although the patient may still need dialysis, fluid management becomes much easier. , furosemide 200 mg every 12 hours) . It is also important to remember that there are circumstances in which the response to diuretics is decreased.
Acute Renal Insufficiency Made Ridiculously Simple (MedMaster Series, 2005 Edition) by Carlos Rotellar