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Emerg. Med. Clin. North Am. · Aug 2019
ReviewEmergency Department Management of Acute Kidney Injury, Electrolyte Abnormalities, and Renal Replacement Therapy in the Critically Ill.
- Ivan Co and Kyle Gunnerson.
- Department of Emergency Medicine, University of Michigan Health System, 1500 East Medical Center Drive SPC 5301, Ann Arbor, MI 48109, USA; Department of Internal Medicine, Division of Pulmonary Critical Care, University of Michigan Health System, 1500 East Medical Center Drive SPC 5301, Ann Arbor, MI 48109, USA. Electronic address: coivan@med.umich.edu.
- Emerg. Med. Clin. North Am. 2019 Aug 1; 37 (3): 459-471.
AbstractAcute kidney injury (AKI) is a common sequela of critical illness. Clinical manifestation of AKI varies and can include electrolyte abnormalities, anion gap, or non-anion-gap metabolic acidosis. Treatment strategies require careful identification of the cause of the AKI, relying on both clinical history and laboratory data. Once the cause has been identified, treatment can then target the underlying cause and avoid further insults. Conservative management should first be attempted for patients with AKI. If conservative management fails, renal replacement therapy or hemodialysis can be used.Copyright © 2019 Elsevier Inc. All rights reserved.
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