Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
•
20 years experience
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Which of these characterize acute kidney injury?
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Acute kidney injury is a condition in which the kidney fails to function properly all of a sudden with a rise in the creatinine levels. It may or may not reduce the urine output depending on the overall health condition. The spectrum of kidney injury ranges from mild to advanced stages which may also require renal replacement. Acute kidney injury require immediate medical attention.
Which of these is the most common cause acute kidney injury?
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About 70 percent of the acute kidney injury cases can be attributed to the pre-renal causes. In these conditions, the underlying functions of the kidney could be absolutely normal, but with a decrease in the renal perfusion, the glomerular filtration rate is also reduced. Even the auto-regulatory mechanisms often compensate to a considerable extent. Sometimes, non-steroidal anti-inflammatory drugs and angiotensin converting enzyme inhibitors also lead to pre-renal causes, which can result in acute kidney injury. Consult a specialist and tell him about all the underlying conditions you are suffering from and the medications that you are taking.
Acute interstitial nephritis can be secondary to numerous underlying conditions.
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Acute interstitial nephritis is generally secondary to different underlying conditions, but they can also be related to using of certain medicines. At certain points, a kidney biopsy could be needed to determine whether it is a condition of allergic interstitial nephritis or some other type of acute kidney injury. Besides discontinuing the use of offending agents, it is recommended to take steroids as it can help in improving the condition.
Comparing the serum creatinine level of the patient is the first step of diagnosing acute kidney injury.
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It is very crucial to compare the current serum creatinine level of the patient with that of earlier. This helps in determining the acuity and duration of the acute kidney injury disease. The definition of acute kidney injury suggests that the creatinine level had risen to a great extent in the last 48 hours even though it is difficult to determine when it actually happened. Follow the advice of your doctor and undergo the medical tests to heal faster.
Vasodilator therapy is the foremost approach for the treatment of acute kidney injury.
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Vasodilators are widely used in acute kidney injury with a hope that with an improvement of renal perfusion, renal damage can be improved to a great extent. It also assists in reducing the need for renal replacement therapy and also lowers the rate of mortality among patients suffering from acute kidney injury. Your doctor may ask you to undergo a trail before the use of vasodilator therapy to determine its efficacy in your condition.
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