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Gen<strong>it</strong>o-Urinari<br />
Percorsi Assistenziali Neonatologici Anno 2008<br />
250<br />
Controindicazioni<br />
1. NEC e Per<strong>it</strong>on<strong>it</strong>i<br />
2. Derivazione Ventricolo-Per<strong>it</strong>oneale<br />
3. Diatesi emorragica<br />
4. Ipoperfusione sistemica<br />
H. Controlli consigliati in corso di IRA<br />
<br />
IRA Oligurica Peso - Diuresi ogni 8 -12 ore<br />
Sangue - Urine ogni 12 - 24 ore<br />
Mon<strong>it</strong>oraggio strumentale<br />
IRA Non Oligurica Peso - Diuresi ogni 12 - 24 ore<br />
Sangue - Urine ogni 24 - 72 ore<br />
Mon<strong>it</strong>oraggio strumentale<br />
Legenda<br />
Sangue: Glucosio, Azoto, Creatinina, Na, Cl, K, Ca ,P, Mg, Osmolar<strong>it</strong>à<br />
Urine: Urea, Creatinine, Na, K, Cl, Ca, P, Osmolar<strong>it</strong>à, esame chimico<br />
Mon<strong>it</strong>oraggio strumentale:<br />
Ecografia renale + Flussimetria ogni 24-48 ore fino a miglioramento<br />
clinico/biochimico e quindi ogni settimana fino alla completa guarigione<br />
1. Gallini F, Maggio L, Romagnoli C, Marrocco G, Tortorolo G. Progression of renal function in preterm infants w<strong>it</strong>h gestational<br />
age < 32 weeks. Pediatr Nephrol 2000; 15:119-124.<br />
2. Cataldi L, Leone R, Moretti U, De M<strong>it</strong>ri B, Fanos V, Ruggeri L, Sabatino G, Torcasio F, Zanardo V, Attardo G, Riccobene F,<br />
Martano C, Benini D, Cuzzolin L. Potential risk factors for the development of acute renal failure in preterm newborn infants:<br />
a case-control study. Arch Dis Child Fetal Neonatal Ed. 2005 Nov;90(6):F514-9.<br />
3. Bhat MA, Shah ZA, Makhdoomi MS, Mufti MH. Theophylline for renal function in term neonates w<strong>it</strong>h perinatal asphyxia: a<br />
randomized, placebo-controlled trial. J Pediatr. 2006 Aug;149(2):180-4.<br />
4. Moghal NE, Embleton ND. Management of acute renal failure in the newborn. Semin Fetal Neonatal Med. 2006<br />
Jun;11(3):207-13.<br />
5. Nafday SM, Brion LP, Benchimol C, Satlin LM, Flynn JT, Edelman Jr CM. Renal Disease – Acute renal failure and oligoanuria,<br />
pagg. 1000-1010. In MacDonald MG, Mullet MD and Seshia MMK eds.: Avery’s Neonatology. Pathophysiology &<br />
Management of the newborn. 6th ed<strong>it</strong>ion. Lippincott Williams & Wilkins Co. 2005.<br />
6. Haycock GB. Management of acute and chronic renal failure in the newborn. Seminars in Neonatology 2003; 8:325-334.<br />
7. Toth-Heyn P, Drukker A, Guignard JP. The stressed neonatal kidney: from pathophysiology to clinical management of<br />
neonatal vasomotor nephropathy. Pediatr Nephrol 2000; 14 : 227-239.<br />
8. Ab<strong>it</strong>bol C, Bauer C, Montanè B, Chandar J, Duara S, Zilleruelo G. Long term follow-up of extremely low birth weigth infants<br />
w<strong>it</strong>h neonatal renal failure. Pediatr Nephrol 2003; 18: 887-893.
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