Canterbury DHB
In the presence of renal failure prior to treatment, renal ultrasound or CT scanning is indicated to exclude obstructive uropathy. This should be relieved by ureteric stents or temporary insertion of nephrostomy tubes.
Early renal failure with weight increase and urine output decrease may respond to IV frusemide 2 mg/kg IV. Up to 5 mg/kg may be given as single dose. Plasma filtration may be a useful alternative to dialysis if fluid overload alone is the problem. This should be done through radial/brachial arterial line and central venous return.
Peritoneal dialysis (PD) is usually the first choice in the event of:
Topic Code: 6628