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Piccinni (PDF) - Fresenius Medical Care

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-reversing underlying cause and correcting<br />

fluid and electrolyte imbalances<br />

-volume replacement guided by the response to<br />

therapy(blood pressure,urinary output etc..) remains a most<br />

effective prophylactic strategy<br />

-nephrotoxins should be discontinued or avoided<br />

and the doses of medications should be adjusted<br />

-hyperkaliemia and acidosis<br />

-anemia(decreased production of erythropoetin and uremiainduced<br />

decrease in red-cell survival)<br />

-bleeding disorders(platelet dysfunction)<br />

because the most commone cause of death in acute renal failure is<br />

sepsis,considerable effort should be directed toward preventing and<br />

treating infectious complications

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