The medical treatment for prerenal acute renal failure (ARF) related to fluid volume deficit is focused on:
a. administering IV fluids, albumin, plasma, or blood
b. increasing the effective arterial blood volume (EABV) by dobutamine or Inocor
c. removing the obstruction
d. restoring perfusion to the kidney quickly
A
Prerenal ARF is caused by any abnormal decline in kidney perfusion that reduces glomerular perfusion. Fluid volume status does not indicate perfusion. Fluid volume excess, such as low cardiac output due to heart failure, causes prerenal failure. Since the renal tubules are structurally intact, the kidneys can resume normal functioning if perfusion is restored fairly quickly. Treatment includes administering IV fluids, albumin, plasma, or blood for prerenal ARF related to fluid volume deficit.
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