It should always be applied in all cases where the RISK for the development of ARF may not clearly be identified initially, e.g. The introduction and maintenance of the so called Bicarbonate-Alcaline-Polyuria (BAP) regimen is therefore mandatory.Īt first, the EMERGENCY-PROCEDURE to produce BAP will be described. Therefore, the above list of RISKS is also the list oF INDICATIONS requiring early and effective prophylactic and therapeutic measures. However, the most frequent cause of ARF is the underestimation of the risk of ARF to occur (5). Obviously, almost 70 % to 80 % o all patients of any large hospital will belong to those 10 categories. All Risks 1 - 8 pre- peri and post Nephrotoxic Pharmaceuticals, e.g NSAIDs, Antibiotics, Cytostatic or Immunsupressive Drugs.
All Risks 1 – 8 pre- peri- and post-op large Interventions or pre- peri- post-interventions of intra-arterial or intra-venous Contrast-Media.
Pregnancy with Risk of EPH, HELLP, and other Chronic Renal Insufficiency ( CRI).Electrolyte-Fluid-Acid-Base-derangements, e.g.Sepsis, Rhabdomyolysis, Haemolysis, Hyperuricemia, Oxalosis etc. Aethylenglycol, Tetracarbonchloride, Herbicides, Mushroms etc. Patients with only ONE Kidney, either functional or anatomic.Dabetics I and II and Patients with Systemic Diseases.Pre-existing Chronic Renal Insufficiency ( CRI), Creatinine -> 1,6 mg/dl.A RISK-Score of 10 Patient-Groups with highly increased RISK to develop ARF is therefore presented first. interventional and surgical Cardiology, Oncology, Geriatric Surgery and many others (2, 12, 13). Unfortunately not only in Nephrology but also in many other disciplines the RISK regarding the occurence of ARF with the need of dialysis is grossly underestimated, although it constitutes a life-threatening complication whatever the basic illness or trauma may be.
At first, It is very important to primarily evaluate the RISK of a patient to develop ARF.
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