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Cardiorenal Syndromes: Evaluation and Management

Leanne H Fowler1, Cathy McAtee1

  • 1Louisiana State University Health New Orleans School of Nursing, 1900 Gravier Street, New Orleans, LA 70112, USA.

Critical Care Nursing Clinics of North America
|November 6, 2022
PubMed

Insights

Cardiorenal syndromes (CRS) involve heart and kidney dysfunction in critically ill patients, indicating a poor prognosis. Understanding CRS epidemiology, pathology, and management is crucial for nurses to improve patient care.

Area of Science:

  • Cardiology
  • Nephrology
  • Critical Care Medicine

Background:

  • Cardiorenal syndromes (CRS) represent a complex interplay of heart and kidney dysfunction.
  • CRS frequently affects critically ill and hospitalized patients, carrying a significant negative prognosis.

Purpose of the Study:

  • To review the epidemiology, pathology, and evidence-based evaluation and management of cardiorenal syndromes.
  • To emphasize the importance of nursing knowledge in recognizing and managing CRS.

Main Methods:

  • Literature review focusing on epidemiology, pathology, and clinical management of CRS.
  • Synthesis of current evidence-based strategies for evaluation and treatment.

Main Results:

  • CRS is characterized by concurrent cardiac and renal dysfunction.
  • The presence of CRS is a strong indicator of a poor patient outcome.

Conclusions:

  • Nurses must understand the impact of chronic heart and kidney disease on CRS risk.
  • Enhanced knowledge of CRS pathology and management is essential for registered and advanced practice nurses to improve patient outcomes.

Keywords:
Acute heart failureAcute kidney injuryCardiorenal syndromeCardiorenal syndrome biomarkersChronic heart failureChronic kidney disease

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