7 results
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 ... Management Algorithm ... 10.1136/bmj.m2687 #AKI ... #Syndrome #HRS
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... expansion: • Albumin ... terlipressin (intravenous ... #Syndrome #Treatment ... #management #HRS
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
Hepatorenal Syndrome ... Diagnosis and Management ... treatment in HRS-AKI ... #Syndrome #HRS ... #Diagnosis #Management
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... antibiotics • Hepatorenal ... syndrome - 1g/ ... terlipressin #Albumin
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Kidney Injury (AKI ... ) - Management Principles ... - inotropes • Hepatorenal ... syndrome → Treat ... + midodrine + albumin
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
of Tumor Lysis Syndrome ... Clinical TLS: • AKI ... Hypovolemia - Intravenous ... #TumorLysis #Syndrome ... TLS #diagnosis #management
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... after 2 days of IV albumin ... - IV albumin ... #HRS #Hepatorenal ... #Syndrome #Hepatology