Which group of patients are likely to develop acute tubular necrosis (ATN)?

Updated: Mar 15, 2021
  • Author: Sangeeta Mutnuri, MBBS; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Another vulnerable group of patients are those with significant co-morbidities, who are likely to develop ATN with relatively minor injury and thus need more frequent and close follow up. This group includes patients with diabetes mellitus, significant coronary or peripheral vascular disease, multiple myeloma, or dehydration, as well as those receiving nephrotoxic medications or undergoing contrast-enhanced imaging studies. Prevention of ATN in these patients is group includes maintaining euvolemia, avoiding nephrotoxic medications, and supporting blood pressure with vasopressors if necessary.


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