Download e-book for iPad: Acute Renal Insufficiency Made Ridiculously Simple by Carlos Rotellar

By Carlos Rotellar

A quick, transparent, sensible, and funny method of acute renal insufficiency.

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A short, transparent, sensible, and funny method of acute renal insufficiency.

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Additional info for Acute Renal Insufficiency Made Ridiculously Simple (MedMaster Series, 2005 Edition)

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Filtration is the simultaneous transfer of a solvent, with a part of the solutes it contains, across a membrane . CAVHD. (Continuous arteriovenous hemodialysis). This technique does not require the use of a dialysis machine. CAVHHD. This is a combination of CAVH and CAVHD. Complications The most frequent complications of ATN in Period II are: infection, myocardial infarction, heart failure, acute gastrointestinal bleeding, disseminated intravascular coagulation (DIC) and strokes. Treatment for patients with G.!.

CITRUS Figure 42 Control of hyperkalemia includes: diet and Kayexalate . Hypocalcemia occurs as a consequence of decreased production of 1,25 (OH) 2 vitamin D 3 and skeletal re sistance to parathyroid hormone. Both hyp erphosphatemia and hypermagnesemia are the result of decreased urinary excretion in the presence of persistent dietary intake. Oral c alci um salts (calcium carbonate, c alcium citrate or calcium acetate) and aluminum salts can be given to co n tro l the hyperphosphat emia. Decrease of both oral phosphate and magnesium should be prescribed.

The therapeutic measures at this point are directed toward adequate fluid and electrolyte replacement to compensate for the excessive losses. As a rule, aim for a negative fluid balance of about 500 mI to 1000 m1/24 hours (Fig. This decreases the amount of fluid accumulated during the oliguric phase and avoids continuous polyuria secondary to excessive fluid intake. v. fluids to keep up with the urine output that can be as high as 10 liters/day or even more. 46 Figure 46 During the polyuric phase the patient should be kept in relative negative fluid balance.

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