Case Report
Copyright ©2005 Baishideng Publishing Group Inc.
World J Gastroenterol. Feb 28, 2005; 11(8): 1245-1247
Published online Feb 28, 2005. doi: 10.3748/wjg.v11.i8.1245
Table 1 Treatment of acute renal failure[7].
Reverse underlying causes
Return intravascular volume and mean arterial pressure to normal
Correct electrolyte imbalances
Treat hyperkalaemia and acidosis with inhaled beta-agonists, insulin/glucose, sodium bicarbonate, binding resins (sodium polystyrene sulfonate)
Discontinue or avoid nephrotoxins
Adjust doses of medications that are eliminated by the kidney or by dialysis
Initiate renal replacement therapy in case of volume overload, hyperkalaemia, metabolic acidosis refractory to medical treatment
Obtain nephrologic consultation as soon as possible
Table 2 Treatment of infections with toxigenic C. difficile[5].
Discontinuation of offending antibiotic
Correction of fluid loss and electrolyte imbalance
Antimicrobial agents if symptoms are severe or persistent
Oral agents (preferred)
Metronidazole: 250 mg, four times daily to 500 mg 3 times daily for 7–14 d
Vancomycin: 125 mg, four times daily, 7–14 d
Parenteral agent
Metronidazole: 500 mg, given intravenously every 6 h