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3 Cards in this Set

  • Front
  • Back

Effects of anaesthesia on renal function

Direct nephrotoxicity


Indirect - hypotension, ADH release, Aldosterone activation, prostaglandin release changes (autoregulation of renal perfusion)

What drugs have nephrotoxic effects

compound A - sevofluorane


flouride ions


Hypotension

How does renal disease affect anaesthesia

Metabolic acidosis - decreased renal exc, increased active fraction of weak acids, myocardial dysfunction


Hypoprotenaemia - more free drug


Uraemia - more free drug