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acute renal failure quizlet with rationales
acute kidney injury quizlet nclex
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Explain the pathophysiology of acute renal failure. Include prerenal, intrarenal and postrenal causes. The pathophysiology of acute renal failure takes place when the kidney no longer works properly. Prerenal causes of acute kidney failure are a lack of prefusion to the kidney. The primary cause of prerenal is ischemia, or inadequate blood flow to the kidney. This lack of perfusion leads to renal failure. Some causes of prerenal acute renal failure can include blood lose or dehydration. Intrarenal causes are damage to the kidney. Some causes of intrarenal are trauma to the kidney or medications damaging the kidneys. Post renal failure occurs when urine cannot be excreted from the kidney normally. Common causes of post renal failure includes occlusion of the urinary track.
What diagnostic exams would be used to diagnose acute renal failure? How do these tests change as renal failure progresses though its 3 stages? Discuss, compare and contrast the 3 stages. Some test doctors use to diagnose acute renal failure include a blood urea nitrogen, urinalysis, serum creatinine levels, serum potassium levels. A blood urea nitrogen test can help find out how well your kidneys are functioning. A urinalysis is used as a way to help detect what is wrong or how bad the renal failure is. A serum creatinine level test is used to detect how well the kidneys are functioning. A serum potassium level test, like the serum creatinine test, is also a good indicator of how well the kidneys are filtering. Doctors also use an ultrasound, x-ray, or MRI to look at the kidneys. In the first stage of renal failure Stage one of acute renal initials diminished function. Signs and symptoms will start to show up in any testing done. glomerular filtration rate at s...
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...ng and trying to have the patient stick to a proper diet. Long-term goals include sticking to drug and treatment therapy, helping the patient adapt to their new lifestyle, and trying to prevent infection.
Works Cited
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2) Torpy, J., Lynm, C., & Golub, R.. (2011). Kidney Transplantation. JAMA, 305(6), 634. Retrieved May 12, 2011, from Research Library. (Document ID: 2275042271).
3) Zhang, Y., Cotter, D., & Thamer, M.. (2011). The Effect of Dialysis Chains on Mortality among Patients Receiving Hemodialysis. Health Services Research, 46(3), 747-767. Retrieved May 12, 2011, from Research Library. (Document ID: 2335834101).
There are two types of glomerulonephritis—acute renal failure (ARF) and chronic kidney disease (CKD). The ACF form generally develops suddenly as a result of an infection or illness, such as, group A streptococci bacteria, hepatitis, or in diseases such as lupus or HIV (Mathias, 2013). This type may require dialysis to replace renal function while it lasts, however, kidney function usually returns after the primary illness is treated. Many acute patients will not have any other complications as no permanent damage is done. Whereas CKD is found in a person that has had glomerulonephritis for months to years in some cases and may be asymptomatic until the kidney has become irreversibly damaged. ARF can evolve to become chronic if the glomeruli do not respond to
The kidneys play a major role in the blood composition and volume , the excretion of metabolic wastes in the urine, the control the acid/base balance in the body and the hormone production for maintaining hemostasis. The damages to the GBM in the glomeruli alter filtration process that allows the protein and red blood cells to leak into the urine. Loss of protein like albumin in the urine results in a decrease of their level into the blood stream. Consequently, this patient’s blood reveals a decreased albumin (Alb) value of 2.9 g/dL, decreased serum total protein value of 5 .0 g/dL and in the urine presents of the protein and the RBCs. Impaired filtering capacity result in inability of kidneys to excrete excretory products like electrolytes and metabolic waste products that will then accumulate in the blood. Furthermore, inability of distal convoluted tubules to excrete sufficient quantities of potassium, sodium, magnesium (Mg), chloride (Cl), urea, creatinine (Cr), alkaline phosphatase (Alk Phos), and phosphate (PO4) results in their elevation in the blood. His laboratory values reveal an increased of sodium value of 149 meq/L, an increase of potassium value of 5.4meq/L, increased chloride value of 116 meq/L, increased blood urea nitrogen (BUN) serum of 143 mg/dL, and increased creatinine serum of 7.14 mg/dL. The other abnormal blood tests associated with a loss of kidneys’ filtration property identify in this patient are related to an increase of alkaline phosphatase value of 178 IU/L, increased magnesium value of 3.8mgdL, and increased phosphate (PO4) value of 5.9 mg/dL .
Characteristics of haemodialysis patients are described as they have greater survive when they had a higher serum creatinine concentration or higher BMI which stand for larger body size or greater muscle mass. An increase of dry weight with muscle mass gaining correlates to the greatest survival. On the other hand, weight loss with loss of muscle mass results the worst mortality. Additionally, gain in muscle mass with weight loss was advantaged on higher survival in comparison with loss of muscle mass with weight gain (Kalantar-Zadeh et al., 2010). Mortality risk is strongly associates to a low BMI in maintenance haemodialysis patients (Kovesdy & Kalantar-Zadeh, 2009).
DaVita is a for profit acute and chronic hemodialysis, peritoneal, and home hemodialysis provider operating internationally. Acute renal failure and chronic kidney disease affects millions of persons, with new diagnoses occurring each and every day. These diagnoses are typically exacerbated from the number one and number two causes of renal disease, which are diabetes and hypertension. Renal disease management requires a collaborative approach between healthcare providers, patients, and families. Outcomes are directly related to the decisions patients make outside of the healthcare setting. As healthcare professionals, it is imperative that patients and families are educated regarding the acute and chronic kidney disease, making healthy
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.
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...
Mendelssohn, D. C., Mujais, S. K., Soroka, S. D., Brouillette, J., Takano, T., Barre, P. E., . . . Finkelstein, F. O. (2009, August 28). A prospective evaluation of renal replacement therapy modality eligibility. Nephrology Dialysis Transplantation, 555-561. doi:10.1093/ndt/gfn484
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.
...ine to pump blood out of the body through an artificial kidney that filters out waste then returns it to the body. A kidney transplant requires surgery, it takes a healthy kidney from a donor and places it into the patient with renal failure. If the operation is successful the patient must take medication for life to avoid rejection of the new kidney.
(2)Saudan,P.,Niederberger,M.,De Seigneux,S.,Romand,J.,Pugin,J.,Pernrger,T.,& Martin,P.Y(2006).Adding a dialysis dose to continuous hemofiltration increases survival in patients with acute renal failure .Kidney international,70(7),1312-1317.
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.
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.
If the patient has a urinary catheter, and most ICU patients do, he or she may not have any reportable symptoms. Therefore, good assessment of urinary elimination, done in relation to a patient’s signs, symptoms, urine amount, intake and output, and lab values, is important. The lab values are discussed in Chapter 5. Acute and chronic renal failure can cause numerous systemic symptoms and altered homeostasis ( Collins, 2011). See Table 3-10 for abnormal urinary elimination.
Renal replacement therapy (aka dialysis) is often required in patient with acute or chronic kidney disease (CKD) to facilitate the removal of undesirable waste products from the body. In the US more than 10% (more than 20 million) of adults may have CKD.1 Chances of having CKD increase after age 50 yrs and is most common among adults older than 70 yrs. Approximately 5%-6% Intensive care unit (ICU) patients have acute renal failure during their ICU stay.2
Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of hypovolaemic shock, as some of the signs and symptoms could have been attributed to her kidney failure (Macintosh and Moore, 2011; Murphy and Byrne, 2009).