Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-19

19_Acute Renal Failure

Pdf Summary

The document is a presentation on Acute Kidney Injury (AKI) and Kidney Support by Dr. Rajit K. Basu. It covers key points such as understanding the drivers of AKI syndrome, opportunities for AKI management, and aspects of kidney support therapy. AKI is defined as a sudden decline in renal function, with various factors influencing Glomerular Filtration Rate (GFR). Diagnostic criteria and the importance of urine as a vital sign in diagnosing AKI are discussed. Management strategies include modification of nephrotoxins, fluid management, and early optimization of systemic mean pressure. Renal Replacement Therapy (RRT) indications, timing, and modalities like CRRT are highlighted. The presentation also emphasizes the need for a high index of suspicion for AKI, adjusting medications for liver metabolism, and managing neurological impairment associated with AKI. Practical considerations for RRT initiation, maintenance, and partnership with nephrology are mentioned, along with the importance of supportive care for secondary organ dysfunction. Overall, the document provides insights into the evaluation, management, and renal support strategies for patients with AKI.

Keywords

Acute Kidney Injury

AKI management

Kidney support therapy

Glomerular Filtration Rate

Renal Replacement Therapy

CRRT

nephrotoxins

fluid management

urine diagnostic

secondary organ dysfunction

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