Acute renal failure

Crit Care Clin. 1987 Oct;3(4):909-25.

Abstract

Acute renal failure is divided into its classic parts: prerenal azotemia, postrenal azotemia (obstruction), and renal azotemia (including acute tubular necrosis). The division of acute tubular necrosis into the ischemic and toxic varieties is supplemented by an analysis of toxic varieties into those caused by antibiotics, radiologic contrast agents, chemotherapeutic-immunosuppressive agents, heavy metals, organic solvents, etc. Acute tubular necrosis caused by hemoglobin and myoglobin is described in detail. The importance of urinalysis and the urinary indices in distinguishing prerenal azotemia from acute tubular necrosis is stressed. Finally, current prognosis and treatment are reviewed.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / etiology*
  • Acute Kidney Injury / therapy
  • Acute Kidney Injury / urine
  • Anti-Bacterial Agents / adverse effects
  • Contrast Media / adverse effects
  • Humans
  • Pigments, Biological / adverse effects
  • Solvents / adverse effects
  • Uremia / etiology
  • Uremia / therapy
  • Uremia / urine

Substances

  • Anti-Bacterial Agents
  • Contrast Media
  • Pigments, Biological
  • Solvents