Acute Renal Failure
Acute Renal Failure
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- Having a chronic disease, such as diabetes , kidney disease, heart disease ( eg, congestive heart failure ), liver disease, or high blood pressure
- Increased age
- Bleeding, especially from the gastrointestinal tract
- Certain medications are potentially toxic to the kidney—for example, antibiotics such as sulfa drugs, chemotherapeutic drugs, radiocontrast material, and illegal drugs (eg, heroin)
- Complications following surgeries or care in an intensive care unit (ICU)
- Overuse of certain over-the-counter painkillers known as nonsteroidal anti-inflammatory drugs (NSAIDS)—for example, ibuprofen, naproxen sodium, and ketoprofen
- Use of angiotensin converting enzyme (ACE) inhibitors
- Obstructive causes (eg, benign prostatic hypertrophy , bladder tumor)
- Undergoing dialysis
- Treating obstruction with a catheter or stent
- Maintaining adequate blood volume with fluids given by IV
- Stopping medications or drugs that caused the loss of function
- Treating related problems, such as kidney stones or infections
- Incorporating a diet with limited protein intake, supervised by a physician
- Get a physical every year that includes a urine test to monitor your kidney's health.
- Drink water and other fluids to stay hydrated.
- Don't take drugs or other substances that can damage your kidneys. Check with your doctor to find out about the potential side effects of any medications you are taking.
- People at risk for chronic kidney disease (eg, those with a pre-existing kidney disease or kidney stone) should get more frequent check-ups at their doctor's office.
National Kidney Disease Education Program http://www.nkdep.nih.gov/
National Kidney Foundation http://www.kidney.org
The College of Family Physicians of Canada http://www.cfpc.ca/
The Kidney Foundation of Canada http://www.kidney.ca/
Acute renal failure. DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated June 13, 2012. Accessed November 1, 2012.
Hilton R. Acute renal failure. BMJ . 2006;333:786-790.
Needham E. Management of acute renal failure. Am Fam Physician . 2005;72:1739-1746. Available at: http://www.aafp.org/afp/20051101/1739.html . Accessed November 1, 2012.
Rondon-Berrios H, Palevsky PM. Treatment of acute kidney injury: an update on the management of renal replacement therapy. Curr Opin Nephrol Hypertens . 2007;16:64-70
Venkataraman R, Kellum JA. Prevention of acute renal failure. Chest . 2007;131:300-308.
- Reviewer: Adrienne Carmack, MD
- Review Date: 10/2012 -
- Update Date: 10/31/2012 -