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Related Concept Videos

Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

232
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...
232
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

283
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...
283
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

455
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...
455
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

309
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...
309
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

218
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...
218
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

246
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...
246

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Related Experiment Video

Updated: Dec 30, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Critical Care Nephrology: Core Curriculum 2020.

Benjamin R Griffin1, Kathleen D Liu2, J Pedro Teixeira3

  • 1Division of Nephrology, Department of Medicine, University of Iowa, Iowa City, IA.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|January 27, 2020
PubMed
Summary

Nephrologists must manage critically ill patients in the intensive care unit (ICU). Acute kidney injury (AKI) requiring renal replacement therapy has a poor prognosis, underscoring the need for critical care nephrology expertise.

Keywords:
Acute kidney injury (AKI)abdominal compartment syndromeacute liver failureacute respiratory distress syndrome (ARDS)cardiac surgery–associated AKIcontinuous renal replacement therapy (CRRT)critical care nephrologyextracorporeal membrane oxygenation (ECMO)fluid overloadintensive care unit (ICU)intraabdominal hypertensionintravenous fluidspalliative carerespiratory failurereviewsepsisshock

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Area of Science:

  • Nephrology
  • Critical Care Medicine

Background:

  • Intensive care units (ICUs) frequently require nephrology consultations for high-acuity cases.
  • While chronic kidney disease increases ICU mortality, acute kidney injury (AKI) needing renal replacement therapy carries a mortality rate exceeding 50%.

Purpose of the Study:

  • To update the core curriculum on critical care nephrology, focusing on advancements in the last decade.
  • To equip practicing nephrologists with essential knowledge for managing critically ill patients.

Main Methods:

  • Review of common causes of AKI in the critical care setting.
  • In-depth discussion of key topics in critical care nephrology, including ARDS, ECMO, fluid management, and shock.
  • Review of palliative care nephrology and dialysis decisions in the ICU.

Main Results:

  • Focus on common AKI etiologies in ICUs.
  • Exploration of critical care nephrology topics like ARDS, ECMO, fluid management, and shock.
  • Discussion of palliative care and dialysis decision-making in critical care.

Conclusions:

  • Critical care nephrology is vital for managing high-mortality AKI in ICUs.
  • Recent advancements necessitate updated knowledge for nephrologists caring for critically ill patients.
  • Palliative care and dialysis decisions are crucial components of ICU nephrology.