- Acute Kidney Injury (AKI) is defined as an abrupt loss of kidney function, resulting in the retention of waste products and dysregulation of fluids and electrolytes.
- Definitions and criteria for AKI have evolved over time from RIFLE to AKIN to KDIGO, focusing on increases in creatinine and decreases in urine output.
- AKI has many causes including decreased blood flow, nephrotoxins, and inflammation. It is associated with increased mortality, costs, and long term kidney problems in survivors. Early identification and preventive measures are important.
A ppt about contrast nephropathy: basics, risk factors, comparison of preventive strategies.
critical review of POSEIDON trial and brief about PRESERVE trial.
Contrast induced nephropathy (CIN) is agenerally reversible form of acute kidney injury (AKI) that occurs soon after the administration of radiocontrast media.
A ppt about contrast nephropathy: basics, risk factors, comparison of preventive strategies.
critical review of POSEIDON trial and brief about PRESERVE trial.
Contrast induced nephropathy (CIN) is agenerally reversible form of acute kidney injury (AKI) that occurs soon after the administration of radiocontrast media.
SEMINAR PRESENTATION ON CONTRAST INDUCED NEPHROPATHY BY PHARM D STUDENT
IT INCLUDES COMPLETE OVERVIEW OF THE TOPIC CIN.
POST CONTRAST ACUTE KIDNEY INJURY( PC-AKI) WITH TREATMENT AND MANAGEMENT.
David Menon discusses the complex and fraught world of managing traumatic brain injury (TBI) in the ICU. In particular, David discusses the management of intracranial pressure and cerebral perfusion pressure in these patients. Although the Brain Trauma Foundation provides guidelines for the management of severe TBI, including targets for ICP and CCP, there is no Level 1 recommendation for the use of any intervention to modulate ICP/CCP.
General principles remain simple in theory, if not in practice. David describes good basic intensive care, which he describes as doing lots of little things well. The main focuses should be maintaining blood pressure high enough to get oxygen to brain, optimising oxygenation and modulating carbon dioxide. This is in combination with other modalities such as hypertonic saline, cooling people, and using metabolic suppression.
The trouble lies in the fact that there is no evidence base for second line therapy. In fact, some of these therapies have been shown to cause harm.
When considering a therapy, it boils down to this - is the disease desperate enough and have the benefits and risks of therapy been weighed up.
When controlling ICP, the indications for treatment are different so acceptance of iatrogenic risk must also change. Therefore, ICP treatments must be calibrated using a risk benefit ratio. For instance, utilising hyperventilation to decrease intracranial pressure can be a useful lever to pull. However, going too hard can reduce the cerebral blood flow to a detrimental point. The point here is to use it briefly, to make time for another less potentially harmful intervention.
Similarly, when considering CCP, targets and protocols use population averages. No single optimal CCP exists across all patients. So, clinicians need a rationale way to titrate treatment to physiology. David suggests using graded thresholds to escalate treatment in an individualised way. Underlying these principles is good detection and minimisations of treatment harm.
Underlying all of these principles is a grounding in the data and the utilisation of this data to effectively communicate with families. By doing this you can deliver the treatment and aim for the outcomes deemed most acceptable by the patient and their loved ones.
For more like this, head to our podcast page. #CodaPodcast
Veeprho Pharmaceuticals s.r.o. is a manufacturer and supplier of Azilsartan Impurity-1 (ARA-3), Azilsartan Des-Ethyl Impurity, Azilsartan Diacetyl Impurity, Azilsartan EHA Impurity, Azilsartan K Impurity-5 and Azilsartan K Medoxomil Impurity-4
SEMINAR PRESENTATION ON CONTRAST INDUCED NEPHROPATHY BY PHARM D STUDENT
IT INCLUDES COMPLETE OVERVIEW OF THE TOPIC CIN.
POST CONTRAST ACUTE KIDNEY INJURY( PC-AKI) WITH TREATMENT AND MANAGEMENT.
David Menon discusses the complex and fraught world of managing traumatic brain injury (TBI) in the ICU. In particular, David discusses the management of intracranial pressure and cerebral perfusion pressure in these patients. Although the Brain Trauma Foundation provides guidelines for the management of severe TBI, including targets for ICP and CCP, there is no Level 1 recommendation for the use of any intervention to modulate ICP/CCP.
General principles remain simple in theory, if not in practice. David describes good basic intensive care, which he describes as doing lots of little things well. The main focuses should be maintaining blood pressure high enough to get oxygen to brain, optimising oxygenation and modulating carbon dioxide. This is in combination with other modalities such as hypertonic saline, cooling people, and using metabolic suppression.
The trouble lies in the fact that there is no evidence base for second line therapy. In fact, some of these therapies have been shown to cause harm.
When considering a therapy, it boils down to this - is the disease desperate enough and have the benefits and risks of therapy been weighed up.
When controlling ICP, the indications for treatment are different so acceptance of iatrogenic risk must also change. Therefore, ICP treatments must be calibrated using a risk benefit ratio. For instance, utilising hyperventilation to decrease intracranial pressure can be a useful lever to pull. However, going too hard can reduce the cerebral blood flow to a detrimental point. The point here is to use it briefly, to make time for another less potentially harmful intervention.
Similarly, when considering CCP, targets and protocols use population averages. No single optimal CCP exists across all patients. So, clinicians need a rationale way to titrate treatment to physiology. David suggests using graded thresholds to escalate treatment in an individualised way. Underlying these principles is good detection and minimisations of treatment harm.
Underlying all of these principles is a grounding in the data and the utilisation of this data to effectively communicate with families. By doing this you can deliver the treatment and aim for the outcomes deemed most acceptable by the patient and their loved ones.
For more like this, head to our podcast page. #CodaPodcast
Veeprho Pharmaceuticals s.r.o. is a manufacturer and supplier of Azilsartan Impurity-1 (ARA-3), Azilsartan Des-Ethyl Impurity, Azilsartan Diacetyl Impurity, Azilsartan EHA Impurity, Azilsartan K Impurity-5 and Azilsartan K Medoxomil Impurity-4
A review of the existing evidence that supports the current practice in perioperative medicine regarding Renin-angiotensin-aldosterone system antagonists, mainly ACE inhibitors and Angiotensin type 1 receptor blockers (ARB's).
Presented as the Cleveland Clinic Hospital Medicine Grand Rounds on April 1, 2009. CME AMA Category 1 - 1 hour.
IMPORTANCE: Optimal timing of initiation of renal replacement therapy (RRT) for severe acute kidney injury (AKI) but without life-threatening indications is still unknown.
OBJECTIVE: To determine whether early initiation of RRT in patients who are critically ill with AKI reduces 90-day all-cause mortality.
Sudden impairment of kidney function occurring over a period of hours to days.
AKI is present in 7% of all hospitalized patients, and up to 30% of patients in ICU
The incidence is increasing at an alarming rate
That's why we need ideal biomarker to diagnose the AKI as early as possible and deliver better treatment to the patient.
Onco-Anaesthesia is an emerging sub-speciality of Anaesthesiology. The presentation describes the spectrum of sub-specialities covered in Onco-Anaesthesia.
Anaesthesia management of patient's with cardiomyopathy involves detailed evaluation, meticulous induction and intra-operative management. The presentation discusses the type of cardiomyopathies and the management of anaesthesia in each sub-type.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
3. Definition
“ Abrupt loss of kidney function, resulting in
the retention of urea and other nitrogenous
waste products and in the dysregulation of
extracellular volume and electrolytes”
> 30 definitions available in
literature
4. NCEPOD Findings &
Recommendations :
FINDINGS:
50% of cases with AKI documented as cause of
death received satisfactory or good care
30% of cases inadequately investigated and
managed
20% of post-admission AKI is predictable and
avoidable (or hospital acquired AKI = HAAKI)
5. Recommendations:
All emergency admissions should have
electrolytes checked on admission and
appropriately thereafter
All acute admissions should receive adequate
senior reviews, with consultant review within 12
hours of admission
Implementation of NICE guidance CG50
6. Why ?
Associated with increased hospital stay,
morbidity/ mortality , cost
Preventable if detected & preventive measures
taken
Protocols should be implemented from ER level
Reversible if identified & treated on time
7. Epidemiology:
≈ 10 % in hospitalized patients
≈70% in critically ill patients
5-6% ICU patients require RRT
8. Beginning of definitions:
ADQI ( 2002): To create consensus & evidence based
guidelines for prevention & treatment of AKI
BIRTH OF RIFLE CRITERIA
3 grades: R,I,F 2 outcomes: L,E
9. RIFLE criteria for diagnosis of AKI based on The “Acute
Dialysis Quality Initiative” ( 2002):
Increase in SCr Urine output
Risk of renal injury
Injury to the kidney
Failure of kidney
function
0.3 mg/dl increase
2 X baseline
3 X baseline OR
> 0.5 mg/dl increase if
SCr >=4 mg/dl
< 0.5 ml/kg/hr for > 6 h
< 0.5 ml/kg/hr for >12h
Anuria for >12 h
Loss of kidney
function
End-stage disease
Persistent renal failure
for > 4 weeks
Persistent renal failure
for > 3 months
Am J Kidney Dis. 2005 Dec;46(6):1038-48
10.
11. Definition of Acute Kidney Injury (AKI) based
on “Acute Kidney Injury Network” ( 2004 ):
Stage Increase in Serum
Creatinine
Urine Output
1 1.5-2 times baseline
OR
0.3 mg/dl increase from
baseline
<0.5 ml/kg/h for >6 h
2 2-3 times baseline <0.5 ml/kg/h for >12 h
3 3 times baseline
OR
0.5 mg/dl increase if
baseline>4mg/dl
OR
Any RRT given
<0.3 ml/kg/h for >24 h
OR
Anuria for >12 h
12. RIFLE vs AKIN:
RIFLE: 7 days, AKIN: 48 hours
AKIN doesn’t entertain GFR
In AKIN: patient investigated after volume
resuscitation and ruling out post renal obstruction
Can determine outcome in RIFLE
13. KDIGO definition ( 2012
)
AKI is defined as any of the following :
Increase in Creat by > 0.3 mg/dl (X26.5 mol/l)
within 48 hours; or
Increase in Creat to > 1.5 times baseline, which
is known or presumed to have occurred within
the prior 7 days; or
Urine volume < 0.5 ml/kg/h for 6 hours
14. KDIGO staging:
Stage Serum creatinine Urine output
1 1.5-1.9× baseline
OR
>0.3 mg%
<0.5 ml/kg/hr for 6-12 hrs
2 2-2.9× baseline <0.5 ml/kg/hr > 12 hrs
3 3 times baseline
OR
RRT
OR
< 18 yrs, GFR < 35
ml/min for 1.73 m2
<0.3 ml/kg/hr > 24 hrs
OR
Anuria > 12 hrs
19. Prerenal Azotemia :
Intravascular volume depletion
bleeding, GI loss, Renal loss, Skin loss, Third space loss
Decreased cardiac output
CHF
Renal vasoconstriction
Liver Disease, Sepsis, Hypercalcemia
Pharmacologic impairment of autoregulation and GFR in
specific settings
ACE inhibitors, ARBs, NSAIDS, Aminoglycosides
21. Mechanisms of acute kidney injury: a molecular viewpoint.
Lattanzio M R , and Kopyt N P J Am Osteopath Assoc
2009;109:13-19
Published by American Osteopathic Association
22. General guidelines for differentiating the etiology of acute kidney injury (ie, prerenal vs renal)
using laboratory studies.
Lattanzio M R , and Kopyt N P J Am Osteopath Assoc
2009;109:13-19
Published by American Osteopathic Association
23. Urine analysis :
Unremarkable in pre and post renal causes
Differentiates ATN vs. AIN. vs. AGN
Muddy brown casts in ATN
WBC casts in AIN
RBC casts in AGN
24. Can creatinine increase in
absence of AKI?
Inhibition of tubular secretion of creatinine:
Trimethoprim, Cimetidine, Probenecid
False elevation due to interference in lab:
Fluocytosine, Ascorbic acid
27. NGAL:
◦ Expressed in proximal and distal nephron
◦ Binds and transports iron-carrying molecules
◦ Role in injury and repair
◦ Rises very early (hours) after injury in animals,
confirmed in children having CPB
Range:
<20 ng/ml: considered normal
>1200 ng/ml: HIGH
28.
29. Cystatin C
Better marker in early detection
Not affected by age, gender, muscle mass, ethnicity
Normal level: 0.5-1 mg/L
Almost 100 times costly, compared to creatinine
30. IL-18:
◦ Role in inflammation, activating macrophages and mediates
ischemic renal injury
◦ IL-18 antiserum to animals protects against ischemic AKI
◦ Studied in several human models
31. KIM-1:
◦ Epithelial transmembrane protein, ?cell-cell interaction.
◦ Appears to have strong relationship with severity of renal
injury
34. Role of ANP analogues in AKI?
61 patients in 2 cardiothoracic ICU with post-op AKI
assigned to receive recombinent ANP (50ng/kg/min) or
placebo
The need for RRT before day 21 after development of
AKI was significantly lower in ANP group (21% vs 47%)
The need for RRT or death after day 21 was
significantly lower in ANP group (28% vs 57%)
Crit Care Med. 2004 Jun;32(6):1310-5
35. Diuretic in AKI!
Converts oliguric AKI into non-oliguric
Psychological relief
Better in volume resuscitated patients
Not associated with improved survival or early
recovery
36. Is there a role for Fenoldopam in prevention or
treatment of AKI in ICU setting?
Dopamine-1 receptor agonist, lack of Dopamine-2, and
alpha-1 receptor effect, make it a potentially safer drug
than Dopamine!
Reduces in hospital mortality and the need for RRT in
AKI
Reverses renal hypoperfusion more effectively than
renal dose Dopamine
Studied in cardiothoracic ICU patients, awaiting more
powered trials in other groups!
J Cardiothorac Vasc Anesth. 2008 Feb;22(1):23-6.
J Cardiothorac Vasc Anesth. 2007 Dec;21(6):847-50
Am J Kidney Dis. 2007 Jan;40(1):56-68
Crit Care Med. 2006 Mar;34(3):707-14
39. NAC:
Efficacy proven in CIN
Not an alternative to IV hydration
Protocols to be circulated to ER & Radiology
department
Should be given pre-exposure and to be
continued
Oral NAC had less bioavailability than IV
41. MEDLINE, OVID,EMBASE
Web of Science, Cochrane Central Register of
Controlled Trials
Conference proceedings from major cardiology and
nephrology meetings
Primary outcome: CIN
Secondary outcomes : renal failure requiring dialysis,
mortality, length of hospitalization
45. EPO- TBI trial :NCT00987454
EPO-AKI is a sub study of the above trial
AKI defined as per RIFLE
HOW??! INDUCES HSP70 & prevents
APOPTOSIS
At present studied in cardiac surgery patients &
heterogenous MICU patients
Results awaited
46. Liver dysfunction & AKI:
Volume responsive AKI
Volume unresponsive AKI ( ATN )
HRS
IV Albumin 40-60 GM/ day × 3-4 days: CIRRHOSIS
47. Management:
Identify the cause
Fluid optimization
Vasopressor/ Vasodilators
Management of hyperkalemia
Management of acidosis, RRT
CCB( in animals), Antidotes
50. Survivors of RENAL study followed upto 4 years/ death
Survivors had heavy burden of proteinuria
Increased frequency of RRT
Costly affair, poor quality of life
PLoS Med. Feb 2014; 11(2):
e1001601.
Mechanisms of acute kidney injury: a molecular viewpoint. Cascade of events involved in the pathophysiology of acute kidney injury. (Copyright 2004 by American Society for Clinical Investigation. Reproduced with permission of American Society for Clinical Investigation. J Clin Invest. 2004;114:8.18)
General guidelines for differentiating the etiology of acute kidney injury (ie, prerenal vs renal) using laboratory studies.