Fluid management and diuretic therapy in acute renal failure.
Acute renal failure (ARF) is a common problem in critical care; therefore, nurses should consider it to be a potential issue for all of their patients. Fluid management and diuretic therapy are important in these patients. The aim of this study is to review the use of these interventions in patients in acute renal failure. Initially, the paper will review renal physiology and discuss some of the causes of acute renal failure. This will be followed by a critical examination of the evidence surrounding the use of crystalloids and colloids for fluid resuscitation, as well as the role of diuretics in patients with acute renal failure. The paper concludes by identifying approaches for developing future practice in this area.
Sumnall
Rebecca
R
Department of Critical Care Medicine, Leicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK. rebec16@hotmail.com
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000628:therapy*; D000328:Adult; D000368:Aged; D003422:Critical Care / Q000379:methods; D016638:Critical Illness / Q000451:nursing; D004234:Diuretics, Osmotic / Q000627:therapeutic use*; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D011787:Quality of Health Care; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods*; D018570:Risk Assessment; D006113:United Kingdom; D014883:Water-Electrolyte Imbalance / Q000517:prevention & control
D004234:Diuretics, Osmotic