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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR Table of Contents   
Year : 1997  |  Volume : 8  |  Issue : 2  |  Page : 155
Hospital Acquired Renal Failure


Hemodialysis Section, King Fahd Central Hospital, P.O. Box 204, Gizan, Saudi Arabia

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How to cite this article:
Subramanian P T. Hospital Acquired Renal Failure. Saudi J Kidney Dis Transpl 1997;8:155

How to cite this URL:
Subramanian P T. Hospital Acquired Renal Failure. Saudi J Kidney Dis Transpl [serial online] 1997 [cited 2019 Jul 22];8:155. Available from: http://www.sjkdt.org/text.asp?1997/8/2/155/39391
To the Editor:

El-Lozi, et al [1] have shared their experiences on hospital acquired renal failure (HARF) in an informative and useful manner. Few practical and well known guidelines for practicing doctors are furnished below. The motto is to apply the slogan "Yesterday, Today and Tomorrow" in every case.

Yesterday:

Elicit past medical history related to renal disease, disorders of micturition, urinary volume and color, proteinuria, recurrent urinary infection, hypertension, diabetes mellitus, occupation, diet and drugs, and in women to obstetric and gynaecological details.

Today:

Watch for the following in the hospital situation viz., hypotension, hypertension, cardiac failure and pericardial disease; hypoxia, chest infection and positive pressure ventilation; gastrointestinal bleeding and liver disease; pre-existing renal disease, urine output, nephrotoxic drugs and obstru­ctive lesions; diabetes mellitus and hyper­uricemia; and fluid collection in third space, dehydration of any cause, blood loss elsewhere and advancing age. Also, ask for family history of renal disease while remem­bering ethnic and geographical factors.

Tomorrow:

Apart from maintaining strict input and output chart, in potential cases, closely monitor urine output. Also, check renal functions every 48 hours especially in suspected or susceptible cases in order to pick up HARF at the earliest.

The chance of developing HARF, although not averted fully, can be minimized by remembering, considering and checking renal systems, and supporting it appropriately. Hence let our goal be "Identify (risk factors and avoidable ones) and act accordingly"

 
   References Top

1.El-Lozi M, Akash N, Gneimat M, ct al. Hospital acquired renal faiure. Saudi J Kidney Dis Transplant 1996;7:378-82.  Back to cited text no. 1    

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Correspondence Address:
P T Subramanian
Hemodialysis Section, King Fahd Central Hospital, P.O. Box 204, Gizan
Saudi Arabia
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PMID: 18417796

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