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2015 | OriginalPaper | Buchkapitel

2. Akute Nierenschädigung – Frühwarnsystem und neue Behandlungspfade

verfasst von: Michael Haase, Anja Haase-Fielitz

Erschienen in: Akute Nierenschädigung

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Das Risiko der Bagatellisierung eines akuten Nierenfunktionsverlusts ist insgesamt hoch. Im klinischen Alltag erfolgt die Erkennung und Behandlung einer akuten Nierenschädigung zumeist zeitverzögert und nur in 10–40% der Fälle durch eine spezialisierte Disziplin. Die Frühdiagnose und individualisierte Ursachensuche sowie Behandlung der akuten Nierenschädigung stehen im Vordergrund. Klinische Akutmaßnahmen umfassen das Vermeiden von Nephronoxen bzw. den Ausschluss oder die Behandlung eines Harnstaus, einer Sepsis und der Komplikationen einer akuten Nierenschädigung. In der Literatur liegen ausreichende Hinweise für den klinischen Nutzen einer frühzeitigen und multimodalen Behandlung der akuten Nierenschädigung vor. Eine Verbesserung der Prognose betroffener Patienten wird durch optimierte Behandlungspfade wie einer verbesserten Nutzung etablierter Marker mittels EDV-gestützter Frühwarnsysteme (“AKI-Alarm”) und der Ausgabe eines Patientenausweises (“Nieren-Pass”) angestrebt.
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Metadaten
Titel
Akute Nierenschädigung – Frühwarnsystem und neue Behandlungspfade
verfasst von
Michael Haase
Anja Haase-Fielitz
Copyright-Jahr
2015
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-45080-8_2

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