TY - CHAP M1 - Book, Section TI - Chapter 36. Acute Kidney Injury A1 - Tomasello, Sarah R. A2 - Sutton, S. Scott PY - 2011 T2 - McGraw-Hill's NAPLEX® Review Guide AB - The kidneys are particularly vulnerable to certain types of injury for a number of reasons. First, they are dependent upon the heart and vasculature to deliver sufficient blood supply to drive glomerular filtration (GFR). Secondly, they are major excretory organs, exposed to numerous endogenous and exogenous substances that are eliminated from the body via the urine. Acute kidney injury (AKI) can occur due to a variety of localized or systemic disease states, toxicity from chemicals or medicinal agents, or as the result of poor perfusion or outlet obstruction. It may be difficult to evaluate and diagnose because more than one type of damage may occur simultaneously, or one type of damage may occur secondary to another type. Although the incidence of AKI is greatest in hospitalized patients, it may also occur in patients residing in the community. Acute kidney injury is also very interesting because, in many cases, if the cause is identified and stopped promptly there may not be any permanent damage to the kidney. More severe, prolonged, or untreated injury can ultimately lead to permanent damage and even complete loss of kidney function. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/24 UR - accesspharmacy.mhmedical.com/content.aspx?aid=7253140 ER -