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Related Concept Videos

Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...
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...
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...

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Updated: May 31, 2026

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
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Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Published on: July 28, 2018

Renal dysfunction and fluid and electrolyte disturbances.

Rawhi Hashem1, Charles Weissman

  • 1Department of Anesthesiology and Critical Care Medicine, Hadassah - Hebrew University Medical Center, Hebrew University - Hadassah School of Medicine, Jerusalem, Israel.

Current Opinion in Critical Care
|July 1, 2011
PubMed
Summary
This summary is machine-generated.

Postoperative acute kidney injury and electrolyte imbalances remain significant risks despite new treatments. Prevention of renal injury and fluid/electrolyte disturbances is crucial for optimal perioperative care.

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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
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Published on: July 19, 2018

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Last Updated: May 31, 2026

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
07:59

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Published on: July 28, 2018

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

Area of Science:

  • Nephrology
  • Anesthesiology
  • Surgical Care

Background:

  • Postoperative acute renal dysfunction is a significant cause of patient morbidity and mortality.
  • Despite advancements in renal replacement therapies, renal dysfunction remains a major concern.
  • New surgical techniques have not consistently reduced the incidence of postoperative renal injury.

Purpose of the Study:

  • To review recent advancements in preventing and treating postoperative acute renal dysfunction.
  • To discuss current challenges in perioperative fluid and electrolyte management.
  • To highlight the importance of preventing renal injury and electrolyte disturbances.

Main Methods:

  • Literature review of recent developments in preventing and treating postoperative acute renal dysfunction.
  • Analysis of contemporary issues in perioperative fluid and electrolyte management.
  • Examination of newer surgical techniques and their impact on renal function.

Main Results:

  • Renal dysfunction continues to be a major postoperative complication, associated with increased mortality.
  • Novel surgical approaches, including off-pump coronary artery bypass and endovascular procedures, have not eliminated renal injury.
  • Contrast-induced nephropathy and electrolyte disturbances, particularly after specific surgeries, require careful management.

Conclusions:

  • Renal dysfunction and fluid/electrolyte imbalances are critical considerations in perioperative management.
  • Preventing clinically significant renal injury and electrolyte disturbances is fundamental to modern anesthetic and surgical practice.
  • Proactive management strategies are essential for mitigating these postoperative complications.