急性肾损伤指南解读PPT课件.pptVIP

KDIGO急性肾损伤指南解读;KDIGO Clinical Practice Guideline for Acute Kidney Injury;GRADE 系统;总推荐条目87条;内容;符合下列任何一条即可诊断 1. Increase in SCr by ≥0.3 mg/dl (≥ 26.5 lmol/l) within 48 hours 2. Increase in SCr to ≥ 1.5 times baseline, which is known or presumed to have occurred within the prior 7 days 3. Urine volume 0.5 ml/kg/h for 6 hours.;We recommend that patients be stratified for risk of AKI according to their susceptibilities and exposures. (1B) Manage patients according to their susceptibilities and exposures to reduce the risk of AKI . (Not Graded) Test patients at increased risk for AKI with measurements of SCr and urine output to detect AKI. (Not Graded) Individualize frequency and duration of monitoring based on patient risk and clinical course. (Not Graded); Exposures Susceptibilities Sepsis Dehydration or volume depletion Critical illness Advanced age Circulatory shock Female gender Burns Black race Trauma CKD Cardiac surgery (especially Chronic diseases (heart, lung, liver) with CPB) Major noncardiac surgery Diabetes mellitus Nephrotoxic drugs Cancer Radiocontrast agents Anemia Poisonous plants and animals;Evaluate patients with AKI promptly to determine the cause, with special attention to reversible causes. (Not Graded) Monitor patients with AKI with measurements of SCr and urine output to stage the severity, according to Recommendation . (Not Graded) Manage patients with AKI according to the stage and cause. (Not Graded);AKI时RRT治疗时机;Potential applications for RRT;Potential applications for RRT;Potential applications for RRT; AKI时停用RRT指征;