Acute Renal Failure - Acute Renal Failure: A clinical...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
Acute Renal Failure: A clinical syndrome characterized by a rapid loss of renal function with progressive azotemia ( an accumulation of nitrogenous waste products such as urea nitrogen and creatinine in the blood) Signs and Symptoms: Common Causes: Prerenal Intrarenal Postrenal Hypovolemia Pronolged prerenal ischemia Benign prostatic hyperplasia Dehydration Nephrotoxic injury Bladder cancer Hemorrhage Drugs (aminoglycosides[gentamicin, Calcui formation GI losess(diarrhea, amikacin], amphotericin B) Neuromuscular disorders vomiting) Radiocontrast agents Prostate cancer Excessive diuresis Hemolytic blood transfusion reaction Spinal cord disease Hypoalbuminemia Severe crush injury Strictures Burns Chemical exposure(ethylene glycol, lead, Trauma(back, pelvis, Decreased cardiac arsenic, carbon tetrachloride) perineum) output Cardiac Interstitial nephritis dyrhythmias Allergies(antibiotics[sulfonamides, Cardiogenic shock rifampin], nonsteroidal anti-inflammatory Heart failure drugs, ACE inhibitors) Myocardial Infections(baterial [acute pyelonephritis], infarction viral [CMV], fungal [candidiasis] Decreased reno- Acute glomerulonephritis vascular resistance Thrombotic disorders Anaphylaxis Toxemia of pregnancy Neurologic injury Malignant hypertension Septic shock Systemic lupus erythematosus Decreased renovascular blood flow Bilateral renal vein thrombosis Embolism Hepatorenal syndrome Renal artery thrombosis Predisposing and/or risk factors Medical management 1. Diagnostic tests History and physical examination Identification of precipitating cause Serum creatinine and BUN levels
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Serum electrolytes Urinalysis Renal ultrasound Renal scan CT scan or MRI Retrograde pyelogram 2. Therapeutic interventions Treatment of precipitating cause Fluid restriction (600 ml plus previous 24-hr fluid loss) Nutritional therapy Adequate protein intake (.6-2g/kg/day) depending on degree of catabolism Potassium restriction Phosphate restriction Sodium restriction Measures to lower potassium (if elevated)* Calcium supplements or phosphate-binding agents Parenteral nutrition Enteral nutrition Initiation of dialysis Continuous renal replacement therapy Common complications Client resources Nutritional Therapy Nursing interventions Health promotion: Aggressive diuretic therapy for patient w/fluid volume status Acute interventions: Managing fluid & electrolyte balance during the oliguric and diuretic phases Observe & record accurate intake & output Daily weights measured w/the same scale at the same time each day allow Be aware about the common signs & symptoms of hypervolemia or hypovolemia Be aware of local manifestations of infection
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 01/19/2011 for the course RNSG 1314 taught by Professor Harkreader during the Fall '10 term at Austin Community College.

Page1 / 15

Acute Renal Failure - Acute Renal Failure: A clinical...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online