IV contrast dye used for pulmonary angiography worsened the renal insufficiency(inc in serum CR). Adequate hydration before IV contrast in patient with renal insufficiency can prevent this.
Middle-aged woman with CKD (likely due to type 2 diabetes) who presents with concern for heart failure exacerbation (shortness of breath, inspiratory crackles, intermittent S4, pedal edema) in the setting of community-acquired pneumonia (fever, CXR finding) and therefore is likely given decreased amounts of IV fluids and potentially is given diuretics, later found to have an acute kidney injury most likely due to decreased effective circulating volume (either pre-renal or acute tubular necrosis due to hypovolemia)
Key idea: In patients with heart failure exacerbation, you often have to carefully balance pulling fluid off while avoiding development of an AKI
submitted by โdeathbystep1(21)
IV contrast dye used for pulmonary angiography worsened the renal insufficiency(inc in serum CR). Adequate hydration before IV contrast in patient with renal insufficiency can prevent this.