Abstract
Critically ill animals may have preexisting renal disease or develop acute kidney injury as a consequence of their presenting complaint. Age, concurrent medical therapy, electrolyte and fluid imbalances, and exposure to potential nephrotoxicants are factors that predispose to acute kidney injury. Many risk factors are correctable or manageable, and these should be addressed whenever possible. Measurement of serum creatinine is insensitive for the detection of acute kidney injury, and clinicians should consider assessment of other parameters such as urine output, urinalysis, and urine chemistry results. A stepwise approach for management of acute kidney injury in small animal patients is outlined.
Copyright © 2011 Elsevier Inc. All rights reserved.
MeSH terms
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Acute Kidney Injury / drug therapy
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Acute Kidney Injury / etiology
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Acute Kidney Injury / physiopathology
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Acute Kidney Injury / veterinary
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Animals
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Azotemia / drug therapy
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Azotemia / etiology
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Azotemia / physiopathology
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Azotemia / veterinary
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Cat Diseases / drug therapy
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Cat Diseases / etiology
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Cat Diseases / physiopathology*
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Cats
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Creatinine / blood
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Critical Illness / epidemiology
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Critical Illness / therapy
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Dog Diseases / drug therapy
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Dog Diseases / etiology
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Dog Diseases / physiopathology*
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Dogs
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Humans
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Kidney / physiology
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Kidney / physiopathology*
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Kidney Diseases / drug therapy
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Kidney Diseases / etiology
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Kidney Diseases / physiopathology
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Kidney Diseases / veterinary*
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Reference Values
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Risk Factors
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Species Specificity
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Uremia / drug therapy
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Uremia / etiology
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Uremia / physiopathology
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Uremia / veterinary
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Urinalysis / veterinary
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Urine / chemistry
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Urine / physiology