Acute Kidney Injury
Acute Kidney Injury
Acute Kidney Injury
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Prevention of<br />
Contrast-Induced Nephropathy<br />
• Identify high risk patients<br />
• Volume expand with isotonic sodium chloride or sodium<br />
bicarbonate<br />
‣ Optimal fluid composition and timing and rate of fluid<br />
administration remain uncertain<br />
• Use low osmolar or iso-osmolar contrast in high-risk population<br />
• N-acetylcysteine<br />
‣ Although data are inconclusive, NAC is inexpensive and safe<br />
• Discontinue NSAIDs and vasoconstrictors
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