AKI and pheochromo treatment

goal for treating AKI: lower by 25% in

• 1hr

• 1day

goal for treating AKI: lower by 25% in 1hr, then 160/1100-110 in

• next 24hrs-48hrs

• 2-6 hrs

goal for treating AKI: lower by 25% in 1hr, then 160/1100-110. then normal in

• next 24hrs-48hrs

• 2-6 hrs

goal for treating AKI: 1st line therapy

• oral nicardipine or clevidipine

• IV nicardipine or clevidipine

• fenoldopam

alternative AKI treatment

• oral nicardipine or clevidipine

• IV nicardipine or clevidipine

• fenoldopam

MUST AVOID IN AKI DUE TO SEVERE HYPOTENSION OR WORSE KIDNEY PERFSION

• sodium nitroprusside

• Ace inhibitors

• IV labetalol

• iv nicardipine or clevidipine

1st line in pheochromocytoma

• nicardipine

  clevidipine

• phentolamine

• doxazosine

• labetalol

addition to therapy for further lowering BP in pheochromocytoma

• nicardipine

  clevidipine

• phentolamine

• doxazosine

• labetalol

NEVER in pheochromocytoma, COULD CAUSE further vasoconstriction

• nicardipine

  clevidipine

• phentolamine

• doxazosine

• labetalol

possible for pheochromocytoma

• surgical removal of tumor

• labetalol