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nephrology diagnosis treatment acute algorithm causes differential hepatology injury kidney pharmacology classification continuous criteria crrt diuresis diuretics excretion hrsaki hrsckd
AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm DOI: 10.1136/bmj.m2687 #AKI #Cirrhosis #Hepatorenal #Syndrome #HRS #Management #Algorithm #nephrology
AKI in Cirrhosis ... - Hepatorenal Syndrome ... #Cirrhosis #Hepatorenal ... #Syndrome #HRS ... #nephrology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... Criteria HRS-AKI ... haematuria, Normal renal ... Type 2) • HRS-AKD ... #Hepatorenal #Syndrome
Pharmacological Treatment of Hepatorenal Syndrome (HRS) Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Syndrome (HRS) ... pressure incr renal ... #HepatoRenal #Syndrome ... #Nephrology #Management ... #Pharmacology #Medications
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... , Medications Intra-Renal ... Medicine @SCVMCMed #AKI
Hepatorenal Syndrome - Diagnosis and Management Summary Who gets HRS? • Decompensated cirrhosis • Typically with existing
Hepatorenal Syndrome ... Decompensated cirrhosis ... a precipitant: Medications ... of treatment in HRS-AKI ... #Syndrome #HRS
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... (e.g. advanced cirrhosis ... significantly improve renal ... #Syndrome #diagnosis ... #HRS #nephrology
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
a.k.a. cardiorenal syndrome ... failure (a.k.a. hepatorenal ... syndrome) Intrarenal ... vasculitis - TTP/HUS ... tract infection • Medications
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
at least 50% Renal ... Hypoperfusion • Hepatorenal ... syndromes • Drugs ... Ethylene glycol) TTP/HUS ... Sjögren) Post-Renal
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... liver disease: cirrhosis ... Classification: HRS-AKI ... HRS-Non-AKI (formerly ... #HRS #Hepatorenal
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... irrigation • Management ... Inhibitors of Renal ... Excretion #Diuresis #Nephrology ... #Pharmacology #Medications
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