https://scholars.lib.ntu.edu.tw/handle/123456789/579659
標題: | Strategies to minimize acute kidney injury | 作者: | CHIUNG-YING HUANG VIN-CENT WU TUN-JUN TSAI KWAN-DUN WU |
公開日期: | 2014 | 出版社: | Society of Internal Medicine of Taiwan | 卷: | 25 | 期: | 2 | 起(迄)頁: | 75-81 | 來源出版物: | Journal of Internal Medicine of Taiwan | 摘要: | Although the understanding of the causes, mechanisms and early diagnostic biomarkers of acute kidney injury (AKI) is improving, the disease's occurrence, short-term and long-term complications are diffcult to prevent. We propose three updated strategies to preserve kidney function and minimize further kidney injury in patients with AKI. These include fluid management, kidney support during advanced AKI, use of renin-angiotensin system antagonists, and use of diuretics to achieve adequate control of intravascular volume. In addition, we describe the clinical implications of the effect of fluid restriction, the choice of fluid solutions and time to initiate par-enteral nutrition. Finally, we update the timing of dialysis initiation, and weaning from dialysis. Although therapies for ameliorating AKI per se remain limited, the potentially powerful strategies could modulate the intensity and poor outcome of AKI. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902299764&partnerID=40&md5=902aafddd029acc4fb0353baf4d99b7b https://scholars.lib.ntu.edu.tw/handle/123456789/579659 |
ISSN: | 1016-7390 | SDG/關鍵字: | acute kidney failure; article; dialysis; human; outcome assessment; parenteral nutrition; water deprivation |
顯示於: | 醫學系 |
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