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Renal Function Monitoring in a Critically Sick Patient

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Critical Care Nephrology and Renal Replacement Therapy in Children

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Abstract

Causes of Acute Kidney Injury (AKI) are multifactorial; risk and severity are increased by preexisting renal insufficiency and by co-morbidities. Predicting likelihood of AKI and careful monitoring are crucial to modify management and change clinical course. Sepsis, hypovolaemia and nephrotoxic agents are important factors in AKI and are modifiable. Some renal failure is caused by nephro-urological disease for which there may be specific therapy. Failure to recognize AKI early results in significant kidney damage. Acute kidney injury (AKI) and fluid overload are independently associated with short- and long-term morbidity and mortality. Focus on preservation of renal function is important.

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Author information

Authors and Affiliations

  1. The Great North Children’s Hospital, Newcastle upon Tyne, UK

    Heather Lambert

  2. Great Ormond Street Hospital for Children, London, UK

    Daljit Hothi

Authors
  1. Heather Lambert
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  2. Daljit Hothi
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Correspondence to Heather Lambert .

Editor information

Editors and Affiliations

  1. Paediatric Intensive Care Unit, King’s College Hospital, London, United Kingdom

    Akash Deep

  2. Center for Acute Care Nephrology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

    Stuart L. Goldstein

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Lambert, H., Hothi, D. (2018). Renal Function Monitoring in a Critically Sick Patient. In: Deep, A., Goldstein, S. (eds) Critical Care Nephrology and Renal Replacement Therapy in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-90281-4_2

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  • DOI: https://doi.org/10.1007/978-3-319-90281-4_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90280-7

  • Online ISBN: 978-3-319-90281-4

  • eBook Packages: MedicineMedicine (R0)

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