Renal Failure Renal failure is a broad health problem that is prevalent in today’s general population. There are five different types of kidney failure categorize the diagnosis of renal failure. Having a definition of Kidney Failure helps form an understanding of medical treatment issues surrounding this diagnosis and the impact had on not only the individuals but on support systems as well.
Healthcare Diagnosis/Problem According to the Mayo Clinic, Kidney Failure occurs when the kidneys are suddenly unable to filter waste products from the blood. This occurring, results in the body beginning to accumulate high levels of dangerous waste, which eventually leads to a chemical imbalance in the blood. Symptoms of the kidney’s inability to
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As a result of this there is insufficient blood flow to the kidneys. Secondly, Acute intrinsic kidney failure occurs when there is direct trauma to the kidneys. This usually occurs when taking a sever hit to the body near the kidneys. Other factors could be toxin overload and ischemia, lack of oxygen to the kidneys caused by renal blood vessel obstruction, shock, sever bleeding or inflammation. Chronic pre-renal kidney failure is a third type of kidney failure occurring when there is a long-term lack of blood flow to the kidneys. This type of kidney failure usually causes the kidneys to shrink and lose their function. Then, Chronic intrinsic kidney failure occurs by direct trauma to the kidneys due to severe bleeding or lack of oxygen. Lastly chronic post-renal kidney failure is a result of blockage of the urinary tract prevention urination and causing pressure eventually leading to kidney …show more content…
Treatment cost varies for each treatment. According to the U.S. Renal Data System Hemodialysis can cost up to $72,000 a year and Peritoneal dialysis can cost up to $53,00 a year. A transplant cost involve before, during, and after surgery cost. Cost for kidney transplants include; lab testing, hospital stay, surgeons and operating rooms, rehabilitation, doctor visits, and medications which can range up to $2,500 per month with an average cost of a transplant for a single kidney being over $210,000. Availability of treatment. Availability of Dialysis is readily available due to the different ways of receiving treatment. There are dialysis clinics and even home health dialysis agencies. Transplants are however different. According to the National Kidney Foundation there are currently 121,678 people waiting for a lifesaving organ transplant in the U.S., 100,791 have been waiting since January of 2016. The average wait time for a kidney transplant is 3.6 years, varying on compatibility, health, and availability of
What diagnostic exams would be used to diagnose acute renal failure? How do these tests change as renal failure progresses through its 3 stages? Discuss, compare and contrast the 3 stages.
Acute Renal Failure is a difficult sickness that affects millions of people all over the world the only thing oneself can do is to live a happy stress free life with a healthy diet and to always live each day as if it was the last day of their life.
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...
In 1954, the first organ transplant was conducted successfully in the United States. (Clemmons, 2009) Nowadays, the technology of organ transplant has greatly advanced and operations are carried out every day around the world. According to current system, organ sales are strictly prohibited in the United States. (Clemmons, 2009) However, the donor waiting list in the United States has doubled in the last decade and the average waiting time for a kidney is also increasing. (Clemmons, 2009) In the year 2007, over 70,000 patients were on the waiting list for a kidney and nearly 4500 of them died during the waiting period. In contrast to the increasing demand for kidney, organ donation has been in a decrease. (Wolfe, Merion, Roys, & Port, 2009) Even the government puts in great effot to increase donation incentives, the gap between supply and demand of organs still widens. In addition, the technology of therapeutic cloning is still not mature and many obstacles are met by scientists. (Clemmons, 2009) Hence, it is clear that a government regulated kidney market with clear legislation and quality control is the best solution to solve the kidney shortage problem since it improves the lives of both vendors and patients.
Dialysis is used when a person’s kidneys have lost 85-95% of their functioning ability. Over 100,000 people in the US are staying alive due to kidney dialysis. Kidney dialysis is also called renal dialysis. There are two types of kidney dialysis: peritoneal and hemodialysis. Both types of dialysis remove waste, salt and extra water, which builds up in the body. Dialysis not only cleanses impurities out of the blood, it also maintains blood pressure and makes sure to keep healthy levels of sodium, bicarbonate and potassium in the body. (Lewin, 2010)
Overall, for an acute kidney failure patient the hope is that they are able to have complete recovery and be free of complications and electrolyte and fluid imbalances by the end of treatment. Though, this is not true for most, because many AKI patients have co-existing morbidities and need treatment until the end of life. As nurses all we can do is give the best care that we know how and make our patients feel as comfortable as possible while they’re under our care.
There are several diagnostic test or evaluations done to prognosis acute renal failure. These are:
The renal failure (kidney failure) is dangerous disorder which can affect the function of the kidneys. Stein (2002) defines the renal failure as a condition in which the kidneys are less able than normal to do their usual function. There are two classes of the kidney failure. The first one is acute renal failure which is abbreviated to (ARF) and the second one is chronic renal failure where can be shortened to (CRF). Gaw et al (2008) identified the differences between them as that the kidneys in acute kidney failure fail over a period of days or hours, while the chronic kidney failure develops over years or months. In addition, the acute renal failure may be reversed which means the normal kidney function could be regained, but the chronic renal failure is irreversible.
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.
People spend hours going to dialysis, doctor offices, and making sure all medications are took. “Coping with kidney failure is not just about managing the physical symptoms with treatment. It’s a major life change that can cause a great deal of stress and can give rise to a range of emotional reactions.” Different people react in various ways. Theres a pattern to the way that most people react. Some examples of emotional reactions are depression, stress, anxiety, and sexual problems. People may feel miserable because they are having difficulty coming to terms with some of the changes their conditions are striking against them. All human beings find change stressful. As a person with kidney failure they will have to handle more change than most people. It’s not just the change of their lifestyle, but the ongoing change dealing with adjustments of their diets, medications, and forms of treatment. There are plenty of ways kidney failures people can deal with stress such as, talking to someone who understands, doing fun activities, relaxing, or even taking short breaks. “Specific anxieties that renal patients may have are worries about how the illness will affect their relationship, their ability to work, their quality of life, and about understanding their conditions or managing their treatment.” Reasons for sexual problems include hormonal problems, medication, tiredness, emotional factors, and relationship difficulties.When on dialysis you will need to choose foods that give you the right amount of protein, calories, and minerals. When eating that it will help you stay healthy and fit and it also help your kidney disease from getting worse. There are five stages of kidney disease; their doctor determines thei...
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)
This article describes the choices for treatment: hemodialysis, peritoneal dialysis, and kidney transplantation. It gives the pros and cons of each. It also discusses diet and paying for treatment. It gives tips for working with your doctor, nurses, and others who make up your health care team. It provides a list of groups that offer information and services to kidney patients. It also lists magazines, books, and brochures that you can read for more information about treatment.
Liu Kathleen D, Chertow Glenn M (2008). Acute renal failure. In AS Fauci et al., eds., Harrison's Principles of Internal Medicine, 17th ed., vol. 2, pp. 1752-1761. New York: McGraw-Hill. 2008. 04 Dec. 2013
Renal failure is the disease in which functions of kidney get affected. Kidney is responsible for eliminating waste products from blood. Regulation of blood pressure, production of red blood cells and maintenance of electrolyte balance are other functions performed by kidney. Failure of kidney disrupts these functions. Renal Failure is of two types; acute
can be fatal and requires intensive treatment. Fortunately, however this may be reversible. Prerenal kidney failure occurs suddently when a reduction in blood flow to the kidneys causes loss of kidney function. Prerenal renal failure is the most common type of acute renal failure. This complication is product of many diseases, conditions, and medications that decrease the normal amount of fluid and blood especially in the body. Some examples of these medications are ACE Inhibitors and NSAIDS, severe dehydration, and burns. Another type of kidney faiulre is Intrarenal. This condition occurs when direct damage to the kineys causes a sudden loss of kidney function. Acute tubular nerosis is a very common cause of Intrarenal renal failure, a condition in which the small filtering tubes in the kidney are injured. Other causes are complicated surgeries