Volume Management in the Critically Ill Patient with Acute Kidney Injury
Joint Authors
Khan, Akram
Khalid, Raeesa
Khan, Supriya
Labib, Mary
Source
Critical Care Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-07
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Acute kidney injury (AKI) frequently occurs in the setting of critical illness and its management poses a challenge for the intensivist.
Optimal management of volume status is critical in the setting of AKI in the ICU patient.
The use of urine sodium, the fractional excretion of sodium (FeNa), and the fractional excretion of urea (FeUrea) are common clinical tools used to help guide fluid management especially further volume expansion but should be used in the context of the patient’s overall clinical scenario as they are not completely sensitive or specific for the finding of volume depletion and can be misleading.
In the case of oliguric or anuric AKI, diuretics are often utilized to increase the urine output although current evidence suggests that they are best reserved for the treatment of volume overload and hyperkalemia in patients who are likely to respond to them.
Management of volume overload in ICU patients with AKI is especially important as volume overload has several negative effects on organ function and overall morbidity and mortality.
American Psychological Association (APA)
Labib, Mary& Khalid, Raeesa& Khan, Akram& Khan, Supriya. 2013. Volume Management in the Critically Ill Patient with Acute Kidney Injury. Critical Care Research and Practice،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-498520
Modern Language Association (MLA)
Labib, Mary…[et al.]. Volume Management in the Critically Ill Patient with Acute Kidney Injury. Critical Care Research and Practice No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-498520
American Medical Association (AMA)
Labib, Mary& Khalid, Raeesa& Khan, Akram& Khan, Supriya. Volume Management in the Critically Ill Patient with Acute Kidney Injury. Critical Care Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-498520
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-498520