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.
- 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
- acute renal failure
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