In: Nursing
whag are the medications for acute tubular necrosis?
DEFINITION
Acute tubular necrosis (ATN) is kidney injury characterized by acute tubular cell injury and dysfunction. Common causes are hypotension or sepsis that causes renal hypo perfusion and nephrotoxic drugs. The condition is asymptomatic unless it causes renal failure.
The symptoms of ATN vary depending on its severity, few are
• feel drowsy, lethargic or physically ill
• Feeling of excessively thirsty or experience dehydration
• urinate very little or not at all
• retain fluid or experience swelling in your body
• have episodes of confusion
• experience nausea or vomiting
TREATMENT INCLUDE
• Treatment is supportive and includes stopping nephrotoxins whenever possible, maintaining euvolemia
• Providing nutritional support,
• Treating infections
• Diuretics for increase urine output and potassium-controlling medications may be prescribed. Dialysis may be needed until the kidneys improve
• Must restrict the diet which contain more sodium and potassium.
• Regulate the amount of water you drink to avoid excess fluid retention. Too much fluid can lead to abnormal swelling in your arms, legs, and feet.
• Depending on the condition, dialysis could be another treatment option. This procedure helps the kidneys filter out excess fluids and waste.
• Medications have only an ancillary role in the treatment of acute tubular necrosis (ATN). Therapeutic treatments are prevention, avoidance of further kidney damage, treatment of underlying conditions, and aggressive treatment of complications.