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Acute renal failure

Article Abstract:

Acute renal failure may be easily treated if the kidney has not been damaged. Acute renal failure is defined as a rapid failure of the kidney to excrete waste products and to maintain fluid balance. It often begins as an increase in blood creatinine or a drop in creatinine clearance. The most common causes of acute renal failure are toxins and a drop in the supply of blood to the kidney. In non-hospitalized people, vomiting, diarrhea, fever, low fluid intake and the use of diuretics are common causes of acute renal failure. Aminoglycoside antibiotics and radiocontrast dyes are also common causes of acute renal failure. The kidney can also be obstructed by an enlarged prostate or a tumor. A history and physical exam can detect reversible causes of acute renal failure and a urinalysis is also helpful. Discontinuing the toxic drug and correcting fluid imbalances are the most effective treatment for acute renal failure. Severe cases may require hemodialysis.

Author: Bonventre, Joseph V., Thadhani, Ravi, Pascual, Manuel
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1996

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Continuous hemofiltration in the treatment of acute renal failure

Article Abstract:

Continuous hemofiltration appears to be beneficial in patients with acute kidney failure. Hemofiltration is similar to dialysis except that it incorporates a filter. It removes all elements from blood, including calcium and magnesium, which must be replaced. In some cases a dialysis circuit is added to the hemofilter to improve the process. Many intensive care units also incorporate a pump rather than using arterial pressure alone. The technique is especially beneficial in patients who must receive intravenous fluids.

Author: Forni, L.G., Hilton, P.J.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1997
Blood, Hemofiltration

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The growing problem of chronic renal failure after transplantation of a nonrenal organ

Article Abstract:

Organ transplant recipients have a higher than normal risk of developing chronic kidney failure, according to a study published in 2003. This could be a side effect of the immunosuppressive drugs these patients must take to keep their immune system from rejecting the organ. Other immunosuppressive drugs have been developed that do not damage the kidneys. Patients should also be encouraged to control their blood pressure.

Author: Magee, Colm, Pascual, Manuel
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2003
Editorial, Risk factors, Diseases, Organ transplant recipients, Chronic kidney failure

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Subjects list: Care and treatment, Acute renal failure, Acute kidney failure
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