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3 Cards in this Set

  • Front
  • Back
RIFLE
R - risk = UO <0.5mls/kg/hr for 6/24 OR Cr increased by 1.5x
I - injury = UO <0.5mls/kg/hr for 12/24 OR CR increased by 2x
F - failure = UO <0.3mls/kg/hr for 24/24 OR Cr increased by 3x
L - loss = complete loss of function for >4/52
E - ESRF = ESRF >3/12
CHEST
- NEJM 2012
- in mixed ICU population 6% 130/0.4 voluven showed increased risk of need for RRT cf NaCl
- also increased risk of RIFLE-I, hepatic impairment
- no difference in mortality at 3/12
inclusion: need for fluid therapy in excess of maintenance
causes of renal failure
-pre-renal: decreased CO eg AMI, CCF, hypovolumia, hypotension, raised IAP
-renal: ATN, nephrotoxins, renal ischaemia or infarction, glomerulonephritis, malignancy, emboli
-post-renal: obstructive eg enlarged prostate, malignancy, calculi, blocked catheter