Nephrologic Intervention in Patients Waiting for Cardiac Surgery

"1. pre-operative study:~ * Kidney function: creatinine, Glomerular filtration rate (GFR) and presence albuminuria or proteinuria. Assessment whether there is a functional component added.~ * Discard presence of renal disease: renovascular disease, glomerular disease, toxic, etc.~2. optimise the patient' s overall condition with a pre-operative strategy:~ * Obesity control~ * Control protein, caloric, salt intake~ * Stop smoking~ * Good glycemic control~ * Start ACEI/ARA II if there is proteinuria~ * Start additional antihypertensive drug if required~ * Start hypolipemic treatment if required~ * Start hyperuricemia treatment if required~ * Start AAS, clopidogrel if it is necessary (prophylaxis)~ * Phosphate control~ * Anemia control~ * Metabolic acidosis correction"