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Management of Pediatric Acute Kidney Injury
Book chapter

Management of Pediatric Acute Kidney Injury

Lyndsay A Harshman, Patrick D Brophy and Jordan M Symons
Pediatric Kidney Disease, pp.1251-1275
Springer Berlin Heidelberg
02/17/2017
DOI: 10.1007/978-3-662-52972-0_47

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Abstract

Targeted management and therapy for acute kidney injury (AKI) remains challenging. Much of the care for pediatric AKI to date remains supportive in nature. Earlier detection of AKI may allow intervention with fluid management measures before AKI is fully established, thus allowing the clinician to move beyond supportive care and improve outcomes. Early identification of patients at risk to develop AKI, optimizing fluid and electrolyte status, and avoidance of nephrotoxins are key points in early goal directed management of AKI. Fluid overloaded states may develop in AKI and early renal replacement therapy intervention should be strongly considered to ameliorate and/or allow for correction of volume disturbance and metabolic derangement and permit adequate nutrition to the critically ill pediatric patient.
Fluid overload Hemodialysis Renal angina Electrolyte disturbance Continuous renal replacement therapy Peritoneal dialysis

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