Managing fluid and electrolyte disorders in renal failure.
Because of the role of the kidneys in maintaining homeostasis in the body, kidney failure leads to derangements of fluid, electrolyte, and acid-base balance. The most effective therapy of a uremic crisis is careful management of fluid balance, which involves thoughtful assessment of hydration, a fluid treatment plan personalized for the specific patient, repeated and frequent reassessment of fluid and electrolyte balance, and appropriate changes in the treatment plan in response to the rapidly changing clinical situation of the patient that has renal failure. Disorders of sodium, chloride, potassium, calcium, and phosphorus are commonly encountered in renal failure and may be life threatening. Treatment of metabolic acidosis and nutritional support are frequently needed.
Langston
Cathy
C
Nephrology, Urology, and Hemodialysis Unit, Animal Medical Center, 510 E. 62nd Street, New York, NY 10065, USA. cathy.langston@amcny.org
D000136:Acid-Base Equilibrium / Q000502:physiology; D000137:Acid-Base Imbalance / Q000628:therapy / Q000662:veterinary*; D000818:Animals; D002371:Cat Diseases / Q000628:therapy*; D002415:Cats; D004283:Dog Diseases / Q000628:therapy*; D004285:Dogs; D004573:Electrolytes / Q000097:blood / Q000627:therapeutic use; D005440:Fluid Therapy / Q000295:instrumentation / Q000379:methods / Q000662:veterinary*; D008991:Monitoring, Physiologic / Q000662:veterinary; D051437:Renal Insufficiency / Q000628:therapy / Q000662:veterinary*; D014882:Water-Electrolyte Balance / Q000502:physiology; D014883:Water-Electrolyte Imbalance / Q000628:therapy / Q000662:veterinary*
D004573:Electrolytes