Prevention
Most cases of
acute renal failure occur in people who are already
hospitalized for another serious injury or illness. Doctors may be able to
prevent kidney failure by identifying patients who are at high risk and
avoiding
medications and other situations that may cause acute
renal failure.
Diseases that increase your chance of developing kidney failure are
diabetes,
high blood pressure,
heart failure,
obesity, and long-term kidney disease (chronic renal insufficiency). If you have any of these
conditions, take extra precautions when starting new
medicines. Commonly used medicines, such as ASA and
ibuprofen
(non-steroidal anti-inflammatory drugs), can make
kidney function worse in people who already have impaired kidney function,
diabetes, high blood pressure, or heart failure.
If you are in the hospital and have a higher risk for developing
acute renal failure because of surgery, another medical condition, or a severe
injury, your doctor may take precautions to help you avoid acute renal
failure:
- Fluid balances will be carefully monitored.
- Your intake and output will be measured,
and you may be weighed every day.
- Your blood pressure will be
checked frequently. You may be given
IV fluids to help maintain normal blood
pressure.
- You will have frequent blood tests to make sure
your
electrolytes are in the proper
balance.
- Your
diet will be managed to make sure that you receive at
least 100 grams of carbohydrates each day. The amount of protein in your diet
may be restricted.3
- Your
medicines will be carefully checked. Medicines that
contain magnesium may be stopped. The dosages of your other medicines may be
adjusted.