Pre-en posthydration in chronic kidney disease: Difference between revisions

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*Diabetes mellitus
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*Peripheral arterial disease
| Diabetes mellitus
*Decompensatio cordis
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*Age > 75 years
| Peripheral arterial disease
*Anemia
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*Symptomatic hypotension
| Decompensatio cordis
*High volume contrast fluid
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*Dehydration
| Age > 75 years
*Medication: diuretics, NSAID’s
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| Anemia
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| Symptomatic hypotension
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| High volume contrast fluid
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| Dehydration
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| Medication: diuretics, NSAID’s
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!Table 2: indications for pre- and posthydration<br />
! colspan="2" | Table 2: indications for pre- and posthydration<br />
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*eGFR < 45 ml / min | + diabetes mellitus
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*eGFR < 60 ml / min | + 2 risk factors (table 1)     
| eGFR < 45 ml / min  
*eGFR < 60 ml/min  | + M. Kahler or M. Waldenstrom with excretion of light chains urine   
| + diabetes mellitus
*eGFR any          | + earlier contrast nephropathy                                             
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| eGFR < 60 ml / min  
| + 2 risk factors (table 1)     
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| eGFR < 60 ml/min   
| + M. Kahler or M. Waldenstrom with excretion of light chains urine   
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| eGFR any           
| + earlier contrast nephropathy                                             
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!Table 3: schemes for pre- posthydration<br />
! colspan="2" | Table 3: schemes for pre- posthydration<br />
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*Normal | 0.9% NaCl 0.9% 3-4 ml/kg/hr 4 hours pre- and postprocedural
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*Slow | 0.9% NaCl 0.9% 3-4 ml/kg/hr 4 hours pre- and postprocedural
| Normal  
*Fast | 1.4% NaHCO3 3 ml/kg/hr 1 hour preprocedural and 6 hours postprocedural  
| 0.9% NaCl 0.9% 3-4 ml/kg/hr 4 hours pre- and postprocedural
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| Slow  
| 0.9% NaCl 0.9% 3-4 ml/kg/hr 4 hours pre- and postprocedural
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|Fast  
| 1.4% NaHCO3 3 ml/kg/hr 1 hour preprocedural and 6 hours postprocedural  
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