ch 9 treating acute tubular necrosis

acute tubular necrosis requires vigorous supportive measures during

the acute phase until normal kidney function is restored

initially diuretics are given and fluids are infused to

flush tubules of cellular casts and debris and replace lost fluids

projected and calculated fluid losses require

daily replacement

transfusion of packed red blood cells is

administered for anemia

nonnephrotoxic antibiotics are given for

infection

hyperkalemia requires an emergency IV infusion of

50% glucose and regular insulin

sodium bicarbonate may be needed to combat

metabolic acidosis

sodium polystyrene sulfonate is given by mouth or by enema to

reduce potassium levels

hemodialysis or peritoneal dialysis is used to

prevent severe fluid and electrolyte imbalance and uremia