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Pathophysiology of pre-renal acute failure
Questions on acute and chronic renal failure
Acute renal failure pathology
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Yevette Collier Term 2 FTZ ACUTE RENAL FAILURE Instructor Michelle Earixson-Lamothe 12/05/2013 Explain the pathophysiology of acute renal failure. Include pre-renal, intra-renal, and Post- renal causes. In the Human body there are two kidneys which are predominant component organs that transport waste and other unwanted toxin chemicals out of the blood stream. When the kidneys stop working all the waste backs up into the body which causes several different illnesses. Renal Failure is one of many illnesses that occur. This usually happens because the powerlessness of the nephron in the kidneys that keep fluid, electrolytes, and acid base balances; expel nitrogen waste products; and act upon regulatory functions such as maintaining calcification of bones and producing erythropoietin, cannot maintain homeostasis according to Timby B & Smith N (2010). There are two types of renal failure Acute and chronic. I’m going to elaborate on the most common type acute renal failure. Acute Renal failure Acute renal failure is distinguished by an abrupt rapid diminishing kidney function but, is usually reversible. Pre-renal, Intra-renal, and Post-renal are three general categories that cause acute renal failure. 1. Pre-renal acute renal failure is manifested when a sudden severe decrease in blood pressure (shock) or (renal hypo-perfusion) interruption in blood flow to the kidney from a severe injury or illness (Urinary power point, 2013). According to Williams & Wilkins (2008) in pre-renal ARF, there is nothing wrong with the kidney itself. Affected renal blood flow may result from hemorrhage; third-spacing, MI; primary renal artery stenosis or anything that reduces systemic blood pressure, severe blood loss or volume deple... ... middle of paper ... ...s several times a week. • Peritoneal dialysis uses the lining of your abdomen, called the peritoneal membrane, to filter your blood. This dialysis treatment can be utilized at home when using a continuous peritoneal dialysis. • Renal transplant is a surgical treatment for end stage renal disease. Normally theses transplants are obtained by deceased donors, which are limited and require a close match between blood and tissue type (preferably a twin or family member). Transplant rejection occurs when transplanted tissue is rejected by the recipient's Immune system, which destroys the transplanted tissue. Transplant rejection can be lessened by determining the molecular similitude between donor and recipient and by use of immunosuppressant drugs after transplant. What are the short term nursing goals and long term nursing goals for a client with acute renal failure?
Chronic kidney disease also denoted as chronic renal failure is the gradual failure of the kidney to perform its function as required. The condition occurs gradually thus goes undetected until when it is too late. According to Buttaro et al (2013, p.723), there are certain risk factors that lead to the development of chronic kidney disease that individuals should be conversant with. Chronic kidney disease is hereditary meaning it can be passed from a parent to a child via genes. Age is another factor. This implies that people over 60 years are likely to get the disease thus should be cautious. Individuals having atherosclerosis, bladder obstruction, chronic glomerulonephritis or congenital kidney disease are also at the risk of getting the
The kidneys are located in the posterior section of the retroperitoneal cavity and are small, dark red kidney-bean shaped organs in the lower part of the rib cage (Marieb, The Urinary System, 2015). They are undervalued organs considering how essential they are for the body’s ability to maintain homeostasis. The kidneys filter about 120-150 quarts of blood to produce about 1-2 quarts of urine each day (NIH, 2014). Blood initially enters the kidneys through the renal artery. It then flows into the segmental artery before moving into the interlobar artery. From the interlobar artery the filtrate enters the arcuate artery before branching into the cortical radiate artery, which feeds into the afferent arteriole, before passing into the glomerulus where it begins to filter out waste. The filtered waste is then collected by renal tubule. The tubules drain to collecting ducts and all of these components together makes up a small unit called a nephron. Each kidney has over a million nephrons (Marieb, Blood Supply/ Nephrons, 2015). They filter out wastes that run through different body systems via blood; the majority of that waste is nitrogenous wastes, toxins, excess fluids, electrolytes, and drugs. These waste products are eliminated as urine. While waste are removed vital enzymes, hormones, and water are returned
Prerenal kidney failure causes could be any condition that reduces renal perfusion and causes a decreased glomerular filtration rate. If prerenal is identified and treated correctly, it may be reversible. Some conditions that may contribute to prerenal kidney failure are: fluid shifts related and secondary to burns, hypertension, and reduced cardiac output in patients with congestive heart failure. If the main cause continues to affect renal perfusion this may lead to ischemic damage to the nephrons (Ludwig, Mathews, Gregg 2012).
Acute renal failure causes can be classified as pre-renal, intra-renal or post renal. Intrarenal Acute renal failure are those that directly attack the kidney such as an infection, glumerulonephritis, and diabetes. A common intrarenal condition is the acute tubular necrosis, where epithelial layers of the nephrons become damaged leading to changes in urine concentration, waste filtration, electrolytes and acid base balance. There are three phases of acute tubular necrosis they are initiation, maintenance usually last one to two weeks, and recovery phase where patients will be put on diuretics and will have a slow return of renal function. Patients that are at risk of developing ATN are patients that have azot...
1 in 3 Americans Adults are currently at risk for developing kidney disease. What is acute renal failure, when your kidneys functions all of a sudden stop working and your kidneys are the body’s filter which remove waste products and help balance water, salts and minerals especially electrolytes in your blood when your kidneys stop working you end up building all the products in your body that need to be filtered and eliminated. The pathophysiology of Acute Renal Failure are due to three main causes Pre-renal, Intra-renal, and Post renal. Pre-renal is a sudden drop in blood pressure or interruption of blood flow to the kidneys from illness or sever injury. Intra-renal is direct damage to the kidneys by inflammation of drugs, infection, toxins or reduced blood supply. Post-renal is a sudden obstruction of urine flow because of enlarged prostate bladder tumor, kidney stones, or injury.
Weitz, J., Koch, M., Mehrabi, A., Schemmer, P., Zeier, M., Beimler, J., … Schmidt, J. (2006). Living-donar kidney transplantation: Risks of the donor- benefits of the recipient. Clinical Transplantation , 20 (17), 13-16.
Pathophysiology There are three different stages of acute renal failure; prerenal, intrarenal, and post renal. Prerenal failure is a result from an illness or injury that causes obstruction of blood flow to the kidneys, called hypoperfusion. Hypotension, hypervolemia and inadequate cardiac output are all examples that could cause prerenal failure. According to Lippincott Williams and Wilkins (2009), “prerenal azotemia, excess nitrogenous waste products in the blood, account for 40% to 80% of all cases of acute renal failure” (p. 307). Intrarenal is when there is direct damage to the kidney tissue by either inflammations, drugs, infections or a reduction in the blood supply to the kidney. Post renal is when there is an obstruction of the urine flow. Causes of obstruction could be enlarged prostate gland, kidney stones, bladder tumor or injury. There are four phases of acute renal failure; onset, oliguria, diuresis and recovery. The onset phase can last hours or up to days. The BUN and creatinine levels may start to increas...
ghayas habach, B., Wendy E,Mauger, Elizabeth A.,Wolfe,Robert A.,Portı,Friednich K., Hospitalization Among United States Dialysis Patients:Hemodialysis Versus Peritoneal. Journal of the American Society of Nephrology, 1995. 5(11): p. 9.
The renal disease are common nowadays .The acute renal failure is a medical term means that the kidneys stopped from working and not able to clear toxins from body ,not able to maintained a stable electrolyte balance inside the body and not able to secret the extra fluid as urine outside the body. The renal replacement therapy (RRT) or dialysis has been discovered on 1913 by Able, Rowntree and Turner in London, UK.
renal disease that requires dialysis or needing a kidney transplant. Medicare does not cover the
Healthy kidneys clean the blood by filtering out extra water and wastes. They also make hormones that keep your bones strong and blood healthy. When both of your kidneys fail, your body holds fluid. Your blood pressure rises. Harmful wastes build up in your body. Your body doesn't make enough red blood cells. When this happens, you need treatment to replace the work of your failed kidneys.
Kidney damage can occur from hypertension which causes blood vessels in the kidneys to shrink and harden; infections travelling though the bloodstream; long-term and uncontrolled diabetes, and genetically inherited kidney problems. (Edith Cowan University, 2001-2004)
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
The filtered blood leaves the kidney along the renal veins. The filtered waste products are excreted by the kidney as urine. A narrow tube called the ureter carries urine from the kidney to the bladder. From there the urine is excreted through a single tube, called the urethra. Kidney structure: If you cut a section through the kidney, three areas can be seen:
Kidney plays an important role in the smooth mechanism of different functions in our body. Failure of Kidneys can be a great threat to the life of a person. Since the lifestyle of people today has changed to a great extent, people often complain in pain in kidney, stone formation, intestinal disorders, etc… Failure of kidneys is a threat to life. Since infection in one kidney affects the other one drastically, it becomes essential for the person to cure it on urgent basis. Dialysis is a very common treatment that is often taken by kidney patients. Since dialysis is a very painful process, there are times when patients are unable to stand it as well.