Pre-en posthydration in chronic kidney disease: Difference between revisions

*Diabetes mellitus

*Peripheral arterial disease

*Decompensatio cordis

*Age > 75 years

*Anemia

*Symptomatic hypotension

*High volume contrast fluid

*Dehydration

*Medication: diuretics, NSAID’s

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!Table 2: indications for pre- and posthydration<br />

*eGFR < 45 ml / min | + diabetes mellitus

*eGFR < 60 ml / min | + 2 risk factors (table 1)     

*eGFR < 60 ml/min  | + M. Kahler or M. Waldenstrom with excretion of light chains urine   

*eGFR any          | + earlier contrast nephropathy                                             

!Table 3: schemes for pre- posthydration<br />

*Normal | 0.9% NaCl 0.9% 3-4 ml/kg/hr 4 hours pre- and postprocedural

*Slow | 0.9% NaCl 0.9% 3-4 ml/kg/hr 4 hours pre- and postprocedural

*Fast | 1.4% NaHCO3 3 ml/kg/hr 1 hour preprocedural and 6 hours postprocedural