14 Ri Acute Nonoliguric Renal Failure

Acute nonoliguric renal failure Ri 黃正憲 2003/10/27

Acute Renal Failure ,[object Object],[object Object],[object Object],[object Object],[object Object]

Category ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Renal Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Renal Failure ,[object Object],Post Renal Causes - External compression to the outflow tract from tumors, increased intra abdominal pressure, retroperitoneal fibrosis - Intrinsic blockage from tumor, calculi, blood clots, papillary necrosis - Intratubular obstruction from crystals and myeloma chains - Blocked Foley catheter

Acute Renal Failure ,[object Object],Post Renal Causes Intrinsic causes Tubulo- Glomerular Vascular Interstitial

Acute Renal Failure ,[object Object],Post Renal Causes Intrinsic causes Tubular Interstitial Acute necrosis nephritis glomerulonephritis (10% of cases) (5% of cases) Ischemia Toxins (50% of cases) (35% of cases)

Ischemic Acute Renal Failure ,[object Object],[object Object],Generalized or localized reduction in renal blood flow Ischemic Acute Renal Failure Decreased effective intravascular volume : CHF, cirrhosis, nephrosis, peritonitis Medications : ACE inhibitors, NSAIDS, radiocontrast agents, Ampho B, Cyclosporin Hepatorenal syndrome Large vessel renal vascular disease : Renal artery thrombosis or embolism, operative arterial cross clamping, renal artery stenosis Small vessel renal vascular disease : Atheroembolism, vasculitis, malignant hypertension, hypercalcemia, transplant rejection Sepsis

Toxin induced Acute Renal Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Nonoliguric ARF ,[object Object],[object Object]

Nonoliguric ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nonoliguric ARF ,[object Object],[object Object],[object Object],[object Object]

Nonoliguric ARF ,[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object]

Management of acute renal failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of volume homeostasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of electrolyte homeostais ,[object Object],[object Object],[object Object],[object Object],[object Object]

Management of acid- base homeostasis ,[object Object],[object Object],[object Object],[object Object]

Management of uremia ,[object Object],[object Object],[object Object],[object Object],[object Object]

Nutritional management in acute renal failure ,[object Object],[object Object],[object Object]

Indications for dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Drug management in acute renal failure ,[object Object],[object Object],[object Object]

14 Ri Acute Nonoliguric Renal Failure

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14 Ri Acute Nonoliguric Renal Failure

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