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Acute Renal Failure Presentation

Leah Bergstrom - RN, MSN

Leah Bergstrom

on 5 May 2012

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Transcript of Acute Renal Failure Presentation

Objectives Causes What is renal failure? Acute Renal Failure (cc) photo by Metro Centric on Flickr (cc) photo by Franco Folini on Flickr (cc) photo by jimmyharris on Flickr (cc) photo by Metro Centric on Flickr Differentiate among the causes of prerenal, intrarenal, and postrenal acute renal failure. Describe the clinical course of acute renal failure Explain the nursing management of a patient with acute renal failure. Renal failure is the partial or complete impairment of kidney function resulting in an inability to excrete metabolic waste Renal failure can be acute or chronic. Acute renal failure (ARF) has a sudden onset and can be reversed. There are many different causes and they are categorized into prerenal, intrarenal, and postrenal. Prerenal Factors that are external to the kidneys that reduce renal blood flow and lead to decreased perfusion and filtration.
Hypovolemia, decreased cardiac output, decreased peripheral vascular resistance, hemorrhage, gi losses, burns, septic shock
renin-angiotensin-aldosterone system is activated.
can lead to intrarenal disease. Intrarenal conditions that cause direct damage to the renal tissue
contrast media, drugs, lupus, severe crush injury Postrenal mechanical obstruction of urinary outflow
BPH, bladder CA, strictures Clinical course initiating phase, oliguric phase, diuretic phase, recovery phase Nursing Plan of Care assessment- VS, I/O, mental status, lung auscultation, labs
possible dx
implementation-daily weights, diet modification, oral care, med modification Just for fun!
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