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Management of acute renal failure

Department of Renal Medicine, Lister Hospital, Stevenage, Hertfordshire, UK

Correspondence to:
Correspondence to:
Dr A C Fry
Department of Renal Medicine, Lister Hospital, Coreys Mill Lane, Stevenage, Hertfordshire SG1 4AB, UK; andyfry{at}doctors.org.uk

Acute renal failure is a common condition, frequently encountered in both community practice and hospital inpatients. While it remains a heterologous condition, following basic principles makes investigation straightforward, and initial management follows a standard pathway in most patients. This article shows this, advises on therapeutic strategies, including those in special situations, and should help the clinician in deciding when to refer to a nephrologist, and when to consider renal replacement therapy.

Abbreviations: ARF, acute renal failure; ATN, acute tubular necrosis; AIN, acute interstitial nephritis; GFR, glomerular filtration rate; NSAID, non-steroidal anti-inflammatory drug; ACE-I, angiotensin converting enzyme inhibitors; ARB, angiotensin receptor blockers; RRT, renal replacement therapy; CRRT, continuous renal replacement therapy; RPGN, rapidly progressive glomerulonephritis

Keywords: acidosis; acute renal failure; dialysis; hyperkalaemia

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