Acute Renal Failure causes the kidneys to stop abruptly working. It loses its functions to eliminate wastes, maintain fluid balance, and preserve our body’s electrolytes. Blood enters the kidneys through the renal arteries and leaves through the renal veins. The strength of pressure exerted onto the kidneys is what makes the glomerular filtration work. The glomerulus, or the capillary network inside the Bowman’s capsule, is a filtration system. This pressure depends upon the flow of blood and the resistance between the afferent and efferent arterioles. The afferent arterioles bring the blood; while the efferent arteriole takes it away. When blood flow obstructed, the glomerular filtration rate (GFR) decreases. The GFR is a test used to check how the kidneys are working; it measures how much blood passes through the glomeruli every minute. This pathology leads to the underlying cause of acute renal failure. It has three origins: perineal, intrarenal, and post-renal or obstructive (Workeneh, 2013).
In perineal, the tubules and the glomerulus remain normal. It happens when a sudden decrease of blood flow to the kidney causes loss of the kidney’s functions. There are several causes, which include cirrhosis, severe dehydr...
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...client’s fluid volume status is the daily weight. In addition, a good short term goal to include is for the client to have a urine output of at least 30ml/hr. Right teaching about acute renal failure from nurse to a client is significant as well to achieve the desired effectiveness of treatment.
Long term goals involve the prevention of further complication of the disease. Usually this pertains to clients who are going through dialysis and renal transplant. In dialysis, the goal is to remove the end products of protein metabolism, such as urea and creatinine, from the blood. Serum electrolytes should be maintained at a safe concentration. In addition, acidosis must be corrected to replenish the blood’s bicarbonate buffer system. In renal transplant, the goal is to prevent infection and organ rejection as well as to maintain therapy for the rest of the client’s life.
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