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Apuntes Rápidos Insuficiencia Renal Aguda

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Notas rápidas y concretas respecto a Insuficiencia Renal Aguda. Se describes clasificación, causas, diagnostico, clínica y tratamiento. Repaso perfecto previo al examen.

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  • August 14, 2024
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  • 2024/2025
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QUE300 BEWON
Deterioro de funcion
S
función renal que produce M de urea y creatinina en el curso de días o semanas. REVERSIBLE
REVERSIBLE
B

resultando en una incapacidad del riñón para excretar los productos nitrogenados y para mantener la
homeostasis de líquidos y electrólitos


CASAS LIND DAN FRATA
HIPOPERFUSION RENAL • Oliguria con orina Osm Orina
• Hipovolemia, + coricentrada
↓ concentrada > 400
400-- 500 mosm/kg
m0sm/kg • Hidratación/ sueroterapia
Hidratacion
# Deshidratacion
>

y Na
Na < 20mEq/L
< 20mEq/L
inotropicos - hipovolemia
• secuestro liq. 3er espacio • Diurético - sobrecarga de
# • ↓ Gasto cardiaco por IAM
Diuretico

volumen
70 % O taponamiento cardiaco
• furosemida
furosemida
• Vasodilatación sistémica
• Corregir electrolitos
• consumo de AINE y ECA
• Vasoconstricción renal

LESION ESTRUCTURAL • Oliguria o diuresis Osm orina
& <350-400 m0sm/kg • hidratación
hidratacion / sueroterapia
• glomerular - Sd. Nefrotico Normal
Normal -> poliuria
polivria < 350 400 mosm/kg
-




& Nefritico ineficaz y diluida Y Na > 40mEq/L
Na > • Corregir trastornos
# • vascular - metabólicos
• Uremia
microangiopatias • Diálisis
Dialisis
20 % • trastornos
tromboticas
• Tubular - necrosis por metabólicos 88 &8
tóxicos o isquemia • mal aliento
• Sabor metálico en
OBSTRUCCIÓN de boca
# • diuresis variable
variable • Inapetencia
ecografía renal y vías
via urinaria • Fatiga
ecografia • descompresión de via
descompression
# • Oliguria y anuria urinarias
• Litiasis • Dolor costado urinaria
#




• Tumores, coágulos, • HTA
20 % • Nauseas y
estenosis vomitos
• Cambios micción

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