Renal Cortical Necrosis Treatment & Management

Updated: Nov 03, 2015
  • Author: Prasad Devarajan, MD, FAAP; Chief Editor: Craig B Langman, MD  more...
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Treatment

Approach Considerations

The cornerstones of renal cortical necrosis therapy are to restore hemodynamic stability, institute early dialytic therapy, and treat the underlying cause of the disease.

Most cases of renal cortical necrosis initially require intensive care.

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Dialysis

Early institution of dialysis treatment for renal failure is crucial for patients who are oliguric.

Most patients require an access (eg, hemocatheter, peritoneal dialysis catheter) to institute dialysis.

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Dietary Measures

Ensure adequate energy intake.

Patients with compromised kidney function require a low-potassium, low-phosphorus diet.

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Activity Restriction

Activity should continue as tolerated.

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Consultations

Consult a nephrologist to manage acute renal failure and for ongoing chronic renal replacement therapy.

Consultation with other specialties may be needed, depending on the etiology of the renal cortical necrosis.

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