Prevention and Treatment of Acute Renal Failure Timing in the Use of Dialysis
The clinical syndrome of acute renal failure (ARF) usually occurs as a complication of some other event, while disturbances of the fluid and electrolyte metabolism, acid-base balance and azotaemia additionally complicate the etiologic events . ARF can be induced by different etiologic moments, among which polytrauma, inflammatory processes and severe intoxication predominate  . The differential diagnosis of ARF includes prerenal azotaemia, intrinsic acute renale failure and postrenal obstruction. Prerenal azotaemia is the most common (about 70% of ARF cases). Intrinsic renal damage is responsible for 25% and postrenal azotaemia for less than 5% of all azotaemia . The differentiation of prerenal, intrinsic and postrenal azotaemia is important because of the different modes of therapy. In this paper we will discuss the possibilities of prevention of acute renal failure, management strategies, the indications and correct timing for haemodialysis. Very often intrinsic ARF is a part of multiple organ failure. Sometimes, however, it is an independent event. In the study, attempts were made also to determine the extent to which ARF develops merely as a part of the syndrome of multiple organ failure, and how often it is an independent manifestation.
KeywordsAcute Renal Failure Atrial Natriuretic Peptide Multiple Organ Failure Unilateral Ureteral Obstruction Circulation Failure
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