Treatment of Acute Tubular necrosis

In this article we will discuss management of the three stages of Acute Tubular necrosis in details .

In this article we will discuss management of  the three stages of Acute Tubular necrosis in details .

 Treatment of the Oliguric phase 

• The aim of management is to keep the patient alive until spontaneous recovery of renal function occurs.

General measures:
- Good nursing.
- Daily body weight to assess fluid balance changes.

• ttt Hyperkalemia by Ca gluconate (10 ml of 10% solution) to reduce the risk of arrhythmia. Reduction in serum potassium is achieved by I.V administration of 100 ml of 50% glucose plus 10 units of rapid acting insulin.
 Ion exchange resins, e.g polystyrene sulphonate resins (Sorbisterit) orally to prevent subsequent

Acidosis treated with I.V sodium bicarbonate.
• Fluid balance i.e, daily fluid intake should equal urine output plus losses from fistulae and from vomiting plus an allowance of 500 ml daily for insensible loss.


- Sodium and potassium restriction with rare exception.
- Protein restriction to 40 gm/day if it is hoped to avoid dialysis.
- Patients treated by dialysis must receive 70 gm/day protein.
- Hypercatabolic patients will require an even higher nitrogen intake to prevent negative nitrogen balance.

Control blood pressure.
Vitamin supplements are usually needed

Treatment of the Polyuric phase 

• Fluid, replacement is sometimes required with Na and K supplements.



andrology,2,Cardiology,10,Differential-diagnosis,5,E.N.T,32,General Surgery,4,General-Health,6,GIT,19,Gynecology,1,Hepatology,8,Internal-medicine,1,Microbiology,3,Orthopedics,1,Psychiatry,3,Respiratory-diseases,59,Rheumatology,50,STDs,3,Symptomatology,9,Urology,36,
Med2Date: Treatment of Acute Tubular necrosis
Treatment of Acute Tubular necrosis
In this article we will discuss management of the three stages of Acute Tubular necrosis in details .
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy