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2008 ; 1
(6
): 392-402
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The prevention of acute kidney injury: an in-depth narrative review Part 1:
volume resuscitation and avoidance of drug- and nephrotoxin-induced AKI
#MMPMID28657002
Lameire N
; Van Biesen W
; Hoste E
; Vanholder R
NDT Plus
2008[Dec]; 1
(6
): 392-402
PMID28657002
show ga
This narrative clinical review in two parts discusses the prevention of clinical
acute kidney injury (AKI). The first part focuses on general prevention measures,
including identification of individuals at high risk for AKI, and on the role of
volume expansion and fluid therapy. The latter discusses the timing, the goals,
the selection of the fluids and the haemodynamic management of the patient
receiving parenteral fluids for the prevention of AKI. In addition, this part
summarizes the interaction of intensivist-nephrologist in the ICU with attention
to tight glycaemia control and the use of low doses of corticoids in the septic
shock patients. Finally, the avoidance of drug- and nephrotoxin-induced AKI is
discussed. The second part of this review will summarize the possible
pharmacological interventions in the patient at risk.