Renal Failure Week # 6 (1).pptx - Renal Failure Group 4 ● ●...

Renal Failure
Group 4
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Yami M. Pourani
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Kelly Khamkongsay
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Shannon Ly
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Anna Sabrina Paningabatan
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Khyatiben Parikh
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Nehal Patel
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Jose Ramilo
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David Larsen
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Kyirsty Unger
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Ivy Wico
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Lolita Knight

Overview
Slide by David Larsen
Renal failure
Renal failure occurs when a patient experiences a significant loss of renal function. This loss in function can
occur due to an acute kidney injury (AKI) or chronic kidney disease (CKD) and is usually due to a decrease in
extracellular volume, decreased renal blood flow, or injury to the kidney.
Patients with AKI may present with oliguria, anuria, edema, sx. of congestive heart failure, nausea, vomiting,
fatigue, various elevated labs, and delayed wound healing.
Patients with CKD may present with similar symptoms as those with AKI. However, CKD patients may also
experience hypertension, diarrhea or constipation, malnutrition and weight loss, pruritis, anemia, and skeletal
changes.
(McCance & Huether, 2015)

Case Presentation
Slides by David Larsen
The patient is a 41 year-old male who has a longstanding history of hypertension and diabetes and
presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. He denies any
other medical illnesses.
On physical exam the patient is a well-developed, well-nourished male in moderate distress. Blood
pressure 180/110, pulse 80, respirations 24 and he was afebrile. Body weight 76.5 kg. HEENT was
remarkable for fundoscopic findings of A-V nicking and copper wire changes consistent with hypertensive
injury. Cardiac exam had an S1, S2 and S4. The remainder of the exam was remarkable for 2+ lower
extremity edema and superficial excoriations of his skin from scratching.
(Patients with Renal Failure, n.d. para. 1-2)

Case Presentation Cont.
(Patients with Renal Failure, n.d.)

Diagnosis and Diagnostic Te
sts
By Anna Sabrina Paningbatan
● Renal Clearance - determines how much
of a substance can be cleared from the
blood by the kidneys per given unit of
time.