Nitroprusside-Induced Acute Azotemia
作者:
Gerald M. Reid,
Richard S. Muther,
期刊:
American Journal of Nephrology
(Karger Available online 1987)
卷期:
Volume 7,
issue 4
页码: 313-315
ISSN:0250-8095
年代: 1987
DOI:10.1159/000167492
出版商: S. Karger AG
关键词: Nitroprusside;Acute azotemia
数据来源: Karger
摘要:
A patient with congestive heart failure and pneumonia was begun on a nitroprusside infusion for cardiac afterload reduction. Urine output declined sharply and azotemia ensued despite little change in arterial pressure. Further evaluation supported a prerenal mechanism with dramatic recovery related to tapering and discontinuation of the nitroprusside. The mechanism of renal deterioration is possibly related to a ‘steal’ syndrome due to preferential dilation of vascular beds other than the re
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