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Supportive therapy in ARF includes adequate nutrition, correctionof electrolyte and acid-base abnormalities (particularlyhyperkalemia and metabolic acidosis), fluid management, andcorrection of any hematologic abnormalities. Because ARF isoften associated with multiorgan failure, treatment includesthe medical management of infections, cardiovascular and gastrointestinalconditions, and respiratory failure. Finally, alldrugs should be reviewed, and dosage adjustments made basedon an estimate of the patient’s glomerular filtration rate.
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