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Related Concept Videos

Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...

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Related Experiment Video

Updated: Jun 26, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
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Kidney failure stabilizes after an increase over 2 decades.

Paolo Cravedi1, Piero Ruggenenti, Giuseppe Remuzzi

  • 1Department of Medicine and Transplantation, Ospedali Riuniti di Bergamo, Mario Negri Institute for Pharmacological Research, Bergamo, Italy.

Journal of Renal Care
|January 24, 2009
PubMed
Summary

Renin-angiotensin-system (RAS) inhibitors reduce proteinuria and slow kidney function decline in kidney disease patients. For optimal renoprotection, additional therapies are needed for those not achieving full remission.

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07:02

Mouse Model of Acute to Chronic Kidney Disease Transition Induced by Renal Ischemia/Reperfusion Injury

Published on: February 10, 2026

Area of Science:

  • Nephrology
  • Pharmacology

Background:

  • Proteinuria is a key predictor of progressive kidney function loss.
  • Renin-angiotensin-system (RAS) inhibitors reduce proteinuria and slow renal decline.
  • RAS inhibitors have been linked to stabilized kidney failure rates.

Purpose of the Study:

  • To evaluate the role of RAS inhibitors in managing kidney disease.
  • To identify strategies for renoprotection in patients with persistent proteinuria.

Main Methods:

  • Review of clinical data on proteinuria and kidney disease progression.
  • Analysis of the impact of RAS inhibitors on renal outcomes.
  • Assessment of adjunctive therapies for renoprotection.

Main Results:

  • RAS inhibitors effectively limit renal function decline and can induce remission.
  • Not all patients achieve complete proteinuria remission with RAS inhibitors alone.
  • Combined strategies including blood pressure and metabolic control, lipid lowering, and lifestyle changes are crucial.

Conclusions:

  • RAS inhibition is a cornerstone therapy for reducing proteinuria and preserving kidney function.
  • Comprehensive management is essential for patients with residual proteinuria to maximize renoprotection.
  • Early intervention, particularly in diabetic nephropathy, is vital.