Acute kidney injury

Page 1

Acute Kidney Injury Causes | Symptoms | Treatment


CAUSES INJURY

OF

ACUTE

KIDNEY

Acute Kidney Injury is common in the critically ill, especially in patients with sepsis and other forms of systemic inflammation, but other causes must be considered. Let us look at the most common causes.  Improper fluid balance

 Elevated potassium levels  High blood urea nitrogen  High blood creatinine

 Enlargement of prostate gland


CONTINUE:- CAUSES KIDNEY INJURY

OF

 Exposure to toxins

 Low volume of blood

 Low urine production

 Acute tubular necrosis  Interstitial nephritis

 Acute nephritic syndrome

 Clotting of kidney's blood vessels

ACUTE


SYMPTOMS OF ACUTE KIDNEY INJURY Diagnosis is carried out with blood tests and urine tests. The symptoms of acute renal failure are associated with a decrease in urine production and swelling in specific parts of the body. The symptoms are:  Decreased urine production  Decreased appetite

 Swelling of ankle, hands, and feet  Bloody stools


CONTINUE:SYMPTOMS ACUTE KIDNEY INJURY  High blood pressure  Bleeding of nose  Nausea

 Vomiting

 Bruising easily

 Metallic taste in mouth  Decreased sensation  Rapid hiccups  Seizures

 Sluggish movements

OF


TREATMENT OF KIDNEY INJURY

ACUTE

 Pharmacologic therapy of AKI  Hemodialysis

 Biocompatible membranes  Dopamine

not recommended either as prophylaxis or treatment (Lancet 2000) esp in critically ill pts as proven in ANZICS trial where renal dose dopamine was not associated with any decrease in s/cr or RRT.  Diuretics  CRRT vs IHD


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