Nephrology
Acute Nephrology for the Critical Care Physician
Acute Nephrology for the Critical Care Physician
This practical guide provides the reader with answers to important clinically relevant questions regarding the evaluation and management of acute kidney injury (AKI). All aspects of critical care nephrology are covered, from pathophysiology and diagnosis to prevention and treatment. The questions considered relate to a wide range of issues, such as: How do I diagnose AKI? How can I protect the kidney in clinical practice? How do I manage patients with AKI? When should I initiate and how do I perform renal replacement therapy (RTT)? Which type of RTT is most appropriate for my patient? Should I give specific nutrients? In addition to providing practical guidelines and treatment algorithms, the book includes calculators for continuous RRT and anticoagulant dosing. The authors are internationally renowned experts in the fields of Intensive Care Medicine and Nephrology and all contributions are written in a clear and concise style and have been peer reviewed. Acute Nephrology for the Critical Care Physician will serve as a very useful source for intensivist internists, anesthesiologists and nephrologists involved in the management and treatment of critically ill patients at risk of or affected by AKI.
Table of contents :
Front Matter....Pages i-viii
Front Matter....Pages 1-1
AKI: Definitions and Clinical Context....Pages 3-13
Epidemiology of AKI....Pages 15-25
Renal Outcomes After Acute Kidney Injury....Pages 27-38
Etiology and Pathophysiology of Acute Kidney Injury....Pages 39-56
Acid–Base....Pages 57-68
Kidney-Organ Interaction....Pages 69-85
Acute Kidney Injury in Pregnancy....Pages 87-95
Front Matter....Pages 97-97
Classical Biochemical Work Up of the Patient with Suspected AKI....Pages 99-110
Acute Kidney Injury Biomarkers....Pages 111-123
Renal Imaging in Acute Kidney Injury....Pages 125-138
Front Matter....Pages 139-139
Prevention of AKI and Protection of the Kidney....Pages 141-152
Front Matter....Pages 153-153
Timing of Renal Replacement Therapy....Pages 155-165
Dose of Renal Replacement Therapy in AKI....Pages 167-173
Type of Renal Replacement Therapy....Pages 175-185
Anticoagulation for Continuous Renal Replacement Therapy....Pages 187-202
Metabolic Aspects of CRRT....Pages 203-216
Continuous Renal Replacement Therapy in Sepsis: Should We Use High Volume or Specific Membranes?....Pages 217-232
Drug Removal by CRRT and Drug Dosing in Patients on CRRT....Pages 233-243
Renal Replacement Therapy for Intoxications....Pages 245-253
Pediatric CRRT....Pages 255-261
Front Matter....Pages 153-153
Operational and Nursing Aspects....Pages 263-274
Back Matter....Pages 275-286
