Ins and Outs of Fluid Therapy in Patients with Acute Kidney Injury

摘要

Acute kidney injury (AKI) is a commonly recognized problem in small animal practice that requires prompt diagnosis and directed therapy. There are many treatment methods with which practitioners and technicians should be familiar, including medical options, surgical interventions, and renal replacement therapy (dialysis). In addition, it is important to know which option is most appropriate for each cause and stage of AKI to deliver the most effective therapy. This lecture will provide a brief reviewthe pathophysiology of AKI and then progress to a discussion of fluid therapy for both the oliguric and polyuric patient. Recognition of a volume overloaded patient (oliguric state) is equally as important as recognizing the potentially volume depleted(polyuric state) patient.