Download e-book for kindle: Acute Renal Insufficiency Made Ridiculously Simple by Carlos Rotellar

By Carlos Rotellar

ISBN-10: 0940780097

ISBN-13: 9780940780095

A short, transparent, functional, and funny method of acute renal insufficiency.

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Additional info for Acute Renal Insufficiency Made Ridiculously Simple (MedMaster Series, 2005 Edition)

Sample text

This technique is based on the physical concept of diffusion . Diffusion transfer is a passive transfer of solutes across a membrane, in the absence of net solven t transfer. Peritoneal Dialysis. Performed continuously with hourly exchanges as needed. CAVH. (Continuous arteriovenous hemofiltration). Continuous blood « 100 ml/rnin) filtration through a high permeability membrane to accomplish ultrafiltration rates between 200-800 ml/hr, Requires continuous fluid replacement and does not need dialysis fluid.

Special mention should be made about what has been called hemepigment-associated acute renal failure. In this setting acute renal fail- 38 ure is associated with either myoglobinuria or hemoglobinuria due to rhabdomyolysis or hemolysis re sp e ctively. 5). If good urine output is not obtained within several hours the forced diuresis should be discontinued. During this period substitution of renal function is required to correct the fluid and electrolyte imbalance. Initiate dial ysis if the patient becomes uremic.

In this setting acute renal fail- 38 ure is associated with either myoglobinuria or hemoglobinuria due to rhabdomyolysis or hemolysis re sp e ctively. 5). If good urine output is not obtained within several hours the forced diuresis should be discontinued. During this period substitution of renal function is required to correct the fluid and electrolyte imbalance. Initiate dial ysis if the patient becomes uremic. Water Balance Records of fluid intake and output to maintain adequate balance and avoid fluid overload are essential.

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Acute Renal Insufficiency Made Ridiculously Simple (MedMaster Series, 2005 Edition) by Carlos Rotellar


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