Contrast-Induced Nephropathy: Pathophysiology and Preventive Strategies

被引：74

作者：

Jorgensen, Ann L. ^{[1
]}

机构：

[1] Advocate South Suburban Hosp, Hazel Crest, IL 60429 USA

来源：

CRITICAL CARE NURSE | 2013年 / 33卷 / 01期

关键词：

ACUTE KIDNEY INJURY; ACUTE-RENAL-FAILURE; N-ACETYLCYSTEINE; RISK-FACTORS; METAANALYSIS;

D O I：

10.4037/ccn2013680

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Contrast-induced nephropathy is the third most common cause of hospital-acquired renal failure, after decreased renal perfusion and nephrotoxic medications. Identification of patients at risk and implementation of preventive strategies can decrease the incidence of this nephropathy. Prevention strategies focus on counteracting vasoconstriction, enhancing blood flow through the nephron, and providing protection against injury by oxygen free radicals. Knowledge of the adverse effects associated with infusion of contrast media, identification of patients at risk for contrast-induced nephropathy, and application of evidence-based prevention strategies allow nurses to assist in the prevention of contrast-induced nephropathy. (Critical Care Nurse. 2013;33[1]:37-47)

引用

页码：37 / 46

页数：10

共 32 条

[1]

Agrawal M, 2000, AM FAM PHYSICIAN, V61, P2077

[2] Intravenous N-Acetylcysteine in the Prevention of Contrast Media-Induced Nephropathy [J].

Anderson, Spencer M. ;

Park, Zoon H. ;

Patel, Ramesh V. .

ANNALS OF PHARMACOTHERAPY, 2011, 45 (01) :101-107

[3]

Barreto Reymond, 2007, Nephrol Nurs J, V34, P417

[4] Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group [J].

Bellomo, R ;

Ronco, C ;

Kellum, JA ;

Mehta, RL ;

Palevsky, P .

CRITICAL CARE, 2004, 8 (04) :R204-R212

[5]

Benko A, 2007, CAN ASSOC RADIOL J, V58, P79

[6] Acetylcysteine for prevention of contrast nephropathy:: meta-analysis [J].

Birck, R ;

Krzossok, S ;

Markowetz, F ;

Schnülle, P ;

van der Woude, FJ ;

Braun, C .

LANCET, 2003, 362 (9384) :598-603

[7] Acute Kidney Injury: Current Perspectives [J].

Choudhury, Devasmita .

POSTGRADUATE MEDICINE, 2010, 122 (06) :29-40

[8] Acute Kidney Injury: Not Just Acute Renal Failure Anymore? [J].

Dirkes, Susan .

CRITICAL CARE NURSE, 2011, 31 (01) :37-50

[9] Prevention of Contrast-Induced Nephropathy: An Overview [J].

Ellis, James H. ;

Cohan, Richard H. .

RADIOLOGIC CLINICS OF NORTH AMERICA, 2009, 47 (05) :801-+

[10] Outcome definitions in non-dialysis intervention and prevention trials in acute kidney injury (AKI) [J].

Endre, Zoltan H. ;

Pickering, John W. .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 2010, 25 (01) :107-118

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