ARF is not treated by General practioners, So only principles of treatment are mentioned.

Monitor – Hb% , Blood urea, Serum Creatinine.

Serum electrolytes (Acidiosis and Hyperlalemia)

Urine output

Body weight.

No catheter.

No IV fluids (except if hypotension)

Oral fluids= urine output + GI loss + 400ml.

Diet= Low salt (No salt If endema or hypertension)

Low potassium

Proteins= 30g/day.

Glucose= 100-150g/day.

Inj. Lasix 200mg. (10 amps) IV stat. (Frusemide= repeat upto 2000mg in 24hrs

Inj. Mannitol 20% x 250ml over 30 mins.

If hyperkalemia, Glucose insulin drip and calcium,

500ml 10% glucose + 20 units Plain insulin.

Inj. Calcium gluconate 10ml slow IV stat.

If acidiosis

Inj. Sodabicarb 7.5% x 50 – 100ml IC stat.

Tab. Sodamint 2-4 tds or sodabicarb poser 3 gms/ day orally.

If Hypocalcemia

Inj, Calcium gluconate 10ml slow IV then,

Tab. Sandocal 500mg 1 OD.

Blood transfusion (Packed cells) if severe anemia.

Antacids, Antibiotics if required.

No nephrotoxic drugs should be given.

Dialysis- IF Neurological signs and develop.

If Blood urea > 200mg %.

If Serum Creatinine > 10mg %

If. S. Pottassium > 5m Eq/ L.

If fluid overload and pulmonary edema.

If a patient has not passed urine for more than 12 hours and bladder is totally empty. Do not give IV fluids except if hypeotentsion.

Inj. Lasix

Inj. Mannitol

Inj. Calcium gluconate

Inj. Sodabicarb

Tab. Sodamint

Inj, Calcium gluconate