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Renal Function Monitoring in a Critically Sick Patient

  • Heather Lambert
  • Daljit Hothi
Chapter

Abstract

Causes of Acute Kidney Injury (AKI) are multifactorial; risk and severity are increased by preexisting renal insufficiency and by co-morbidities. Predicting likelihood of AKI and careful monitoring are crucial to modify management and change clinical course. Sepsis, hypovolaemia and nephrotoxic agents are important factors in AKI and are modifiable. Some renal failure is caused by nephro-urological disease for which there may be specific therapy. Failure to recognize AKI early results in significant kidney damage. Acute kidney injury (AKI) and fluid overload are independently associated with short- and long-term morbidity and mortality. Focus on preservation of renal function is important.

Keywords

AKI, acute kidney injury Acute kidney insufficiency Blood pressure Hypovolaemia Nephrotoxicity Oliguria Creatinine GFR 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.The Great North Children’s HospitalNewcastle upon TyneUK
  2. 2.Great Ormond Street Hospital for ChildrenLondonUK

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