Services on Demand
Journal
Article
Spanish (pdf)
Article in xml format
Article references
Automatic translation
Send this article by e-mailIndicators
Cited by SciELO 
Access statistics
Related links
Cited by Google 
Similars in
SciELO 
Similars in Google
Share
Permalink
Revista Colombiana de Nefrología
On-line version ISSN 2500-5006
Abstract
MARIN RESTREPO, Leonardo; CEDENO AREVALO, Susy Vanessa; MINO BERNAI, Jorge Fernando and ALVAREZ-ECHEVERRY, Ingrid. Assessment of the volume status in the patient with acute kidney injury: What does the nephrologist mean by maintaining adequate blood volume?. Rev. colom. nefrol. [online]. 2024, vol.11, n.2, e744. Epub May 29, 2024. ISSN 2500-5006. https://doi.org/10.22265/acnef.11.2.744.
Background:
Acute kidney injury (AKI) is a condition frequently encountered by the nephrologist in the ICU and hospital wards.
Purpose:
To explore the main pathophysiological determinants of volume status and their clinical application in the management of critically ill patients.
Methodology:
This article explains the physiology of intravenous fluid (IVF) administration, critically discusses current prescription patterns, and examines the most frequently used devices and tests for hemodynamic monitoring and predicting the response to volume administration.
Results:
The first cause to rule out is always hypovolemia. Initial management typically involves the early administration of intravenous fluids (IVF), even before nephrologist evaluation. It is essential for nephrologists to understand that additional fluid administration is not without risk and can lead to volume overload. Therefore, IVF administration should only be performed after a positive volume response maneuver.
Conclusions:
An algorithm is proposed to guide volume administration in patients with AKI.
Keywords : Acute kidney injury; Circulatory shock; Hemodynamic collapse; Fluid balance; Hemodynamic monitoring; Extracellular fluid.
