Week 6 CheckPoint: Kidney Failure
Due: Friday, February 11, 2011
Scenario A: Acute renal failure. Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace
several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little
What is happening to Ms. Jones’s kidneys, and why is it causing the observed
What I believe happened to Mrs. Jones’s kidneys is because she had major surgery, she
had lost a lot of blood, as having heart surgery.
Acute renal failure is caused by
decreased blood flow to the kidneys resulting from surgical shock( Mulvihill et al,
Therefore, when your kidneys stop working, waste products, fluids, and
electrolytes build up in your body, which may have caused little urine output.
What other symptoms and signs might occur?
Other signs or symptoms
besides the symptom of little urine output that might happen
are headaches, rapid heart rate, feeling dizzy, confused, anxious, restless or sleepy, the
odor of ammonia on the breath, loss of appetite, nausea, and vomiting and pain on one
side of the back, just below the rib cage and above the waist (flank pain) . In the most
serious cases the symptoms can be muscle weakness,
nausea, confusion, seizures,
irregular heart rhythm, and fluid in the lungs and possible cardiac arrest due to a high
amount of potassium in the blood
( Mulvihill et al, 2006)