Hospitals & Services

Renal Protective Strategies

The cornerstones of good renal protection are not the administration of various drugs, but good clinical practice ie:

 

  • Adequate fluid resuscitation (sometimes a difficult concept)

  • Haemodynamic support to maintain both a good renal perfusion pressure and adequate blood flow.  Where necessary this may involve inotrope and/or vasopressor support.  Despite historical anxiety about the use of vasopressor (Noradrenaline), it is not harmful to the kidneys and may in fact increase renal blood flow in animal studies.

  • Avoid nephrotoxic drugs where necessary

  • Treat intercurrent infection

  • Active surveillance for abdominal compartment syndrome, where this is appropriate.

  • Low dose domamine and frusemide have been used to promote urine output, but have not been found to impact on progression to dialysis or mortality.

rounded corners top

Related Documents

rounded corners bottom
Page last reviewed: 13 May 2014
Contact Us
Image of a Phone By Phone
Image of an Email sign By Email

For a full list of the convenient ways that you can contact us, refer to the Contact Us page