Contrast-Induced Nephropathy: Pathophysiology and Preventive Strategies

2013 ◽  
Vol 33 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Ann L. Jorgensen
Keyword(s):  
At Risk ◽  
Oxygen Free Radicals ◽  
Renal Perfusion ◽  
Evidence Based ◽  
Preventive Strategies ◽  
Prevention Strategies ◽  
Contrast Induced Nephropathy ◽  
Patients At Risk ◽  
Flow Through ◽  
Hospital Acquired

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.

Chronic Disease Registers in Primary Healthcare

2011 ◽  
pp. 35-43
Author(s):  
M. F. Harris ◽  
D. Penn ◽  
J. Taggart ◽  
Andrew Geogious ◽  
J. Burns ◽  
...  
Keyword(s):  
At Risk ◽  
Chronic Disease ◽  
Primary Healthcare ◽  
Clinical Care ◽  
Evidence Based ◽  
Critical Data ◽  
Structured Care ◽  
Patients At Risk ◽  
Evidence Based Guidelines ◽  
Provision Of Care

Systematic care of patients with chronic diseases needs to be underpinned by information systems such as disease registers. Their primary function is to facilitate structured care of patients attending services—supporting identification of patients at risk, structured preventive care and provision of care according to guidelines, and supporting recall of patients for planned visits. In Australia general practitioners using division-based diabetes registers are more likely to provide patient care that adhered to evidence-based guidelines. Critical data issues include privacy, ownership, compatability, and capture as part of normal clinical care and quality.

Urinary Alkalinisation with Oral Sodium Bicarbonate for Patients at Risk of Contrast-Induced Nephropathy

2012 ◽  
Vol 42 (2) ◽  
pp. 118-120
Author(s):  
The-Phung To ◽  
Fahd Chahadi ◽  
Melanie Freeman ◽  
Mary Pan ◽  
Omar Farouque ◽  
...  
Keyword(s):  
At Risk ◽  
Sodium Bicarbonate ◽  
Contrast Induced Nephropathy ◽  
Patients At Risk ◽  
Oral Sodium
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