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Renal Emergencies

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Abstract

Renal oxygen consumption occurs at a rate of 6–8 mL/min per 100 g. While the kidneys receive approximately 20–25% of cardiac output at rest, the kidneys use 7–10% of total oxygen uptake. The sodium-potassium ATPase pump utilizes approximately 2/3 of renal oxygen uptake. Unlike other organs and tissues in which blood flow is determined by metabolic need, blood flow to the kidney is determined by metabolic need indirectly via sodium reabsorption and effects on the glomerular filtration rate. Additionally, as renal perfusion is autoregulated, changes in perfusion altering oxygen delivery are likely restricted in the kidney; this provides a basis for the production of erythropoietin in the presence of low tissue oxygen tension.

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Authors and Affiliations

  1. Department of Emergency Medicine, Critical Care, Hospice and Palliative Medicine, University of Florida, Gainesville, FL, USA

    Marie-Carmelle Elie

  2. Department of Emergency Medicine, UF Health, Levy County Department of Public Safety, Gainesville, FL, USA

    Charles Hwang

  3. Department of Medicine, University of Florida Health, Gainesville, FL, USA

    Mark Segal

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  1. Marie-Carmelle Elie
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  2. Charles Hwang
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  3. Mark Segal
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  1. College of Medicine, University of Florida Health Science Center, Jacksonville, FL, USA

    Joseph R. Shiber

  2. Resuscitation & Emergency Critical Care, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Scott D. Weingart

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Elie, MC., Hwang, C., Segal, M. (2020). Renal Emergencies. In: Shiber, J., Weingart, S. (eds) Emergency Department Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-28794-8_17

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