Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1975-7-1
|
pubmed:abstractText |
Sequential changes in renal function were studied in a series of 114 postoperative patients who developed acute renal failure. The loss of concentrating ability, manifest by a change from strongly negative free-water clearances to values near zero, occurred 24 to 48 hours before the onset of blood urea nitrogen (BUN) and creatinine elevations. In 15 patients a transient period of positive free-water clearance was documented just before these values approached zero. Criteria were proposed for early diagnosis of acute renal failure (ARF) based upon description of the temporal pattern of free-water clearance values. The loss of concentration ability occurred with decreased urinary Na+ concentration unless patients were given large amounts of saline solution prior to the development of ARF. This was followed by gradually increasing urinary Na+ concentrations. Changes in K+ concentrations were not significant until the late stage of renal failure. Recovery patterns in 46 of these patients who survived demonstrated an early return of negative free-water clearance followed by gradually decreasing BUN and serum creatinine values. During this period recovery of the ability of Na reabsorption and excretion of K+ was indicated by decreased urinary Na+ concentrations and increased urinary K+ concentrations.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Creatinine,
http://linkedlifedata.com/resource/pubmed/chemical/Furosemide,
http://linkedlifedata.com/resource/pubmed/chemical/Potassium,
http://linkedlifedata.com/resource/pubmed/chemical/Sodium,
http://linkedlifedata.com/resource/pubmed/chemical/Water
|
pubmed:status |
MEDLINE
|
pubmed:month |
May
|
pubmed:issn |
0039-6060
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
77
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
632-40
|
pubmed:dateRevised |
2010-11-18
|
pubmed:meshHeading |
pubmed-meshheading:1124507-Acute Kidney Injury,
pubmed-meshheading:1124507-Blood Urea Nitrogen,
pubmed-meshheading:1124507-Blood Volume,
pubmed-meshheading:1124507-Creatinine,
pubmed-meshheading:1124507-Diuresis,
pubmed-meshheading:1124507-Female,
pubmed-meshheading:1124507-Furosemide,
pubmed-meshheading:1124507-Humans,
pubmed-meshheading:1124507-Kidney,
pubmed-meshheading:1124507-Kidney Concentrating Ability,
pubmed-meshheading:1124507-Kidney Function Tests,
pubmed-meshheading:1124507-Kidney Tubules,
pubmed-meshheading:1124507-Male,
pubmed-meshheading:1124507-Natriuresis,
pubmed-meshheading:1124507-Osmolar Concentration,
pubmed-meshheading:1124507-Postoperative Complications,
pubmed-meshheading:1124507-Potassium,
pubmed-meshheading:1124507-Sodium,
pubmed-meshheading:1124507-Water
|
pubmed:year |
1975
|
pubmed:articleTitle |
Free-water clearance patterns as predictors and therapeutic guides in acute renal failure.
|
pubmed:publicationType |
Journal Article
|