Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Acute Kidney Failure

No description
by

prusse kakpovi

on 3 December 2014

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Acute Kidney Failure

Acute Renal Failure
What is it?
Assessment
Assessment findings
Nursing Interventions
Acute renal failure is an Abrupt loss of kidney function and GFR that occurs over a period hours or days
Pathophysiology
Pre-renal
Intra-renal
Post-renal
Volume Depletion
Impaired cardiac efficiency
Vasodilation
Prolonged renal ischemia
Nephrotoxic agents
Infectious processes
Aminoglycosides
Urinary tract obstruction
Renal calculi
Tumors
Benign Prostatic Hyperplasia
Initiation or onset
Oliguric
Diuretic
Recovery
Changes in Urine Output

Oliguria
Hematuria
Dysuria
Decresed sodium urine levels
Urinary casts and other cellular Debris
Elevated BUN
Patients with oliguria and anuria are at high risk for
hyperkalemia
K> 5.5mEq/L.
Elevated serum Creatinine is the most sensitive clinical indicator of renal failure.
Weakness
Diarrhea
Dysrhythmias
Cardiac arrest

Metabolic Acidosis
Acute Vs chronic
Acute renal failure is a predisposing factor of Chronic Renal Failure

In acute renal failure there is a sudden increase in BUN and creatinine levels. These levels will be compared to previous lab results to rule out chronic renal disease

GFR is used as a diagnostic factor for Chronic renal failure
Healthy People 2020
15.1% of people in the US were diagnosed with chronic kidney disease
1999-2004

Goal!
Reduce the number of cases of kidney disease to
13.6%
by 2020
The number of people receiving medical evaluation is increasing.

Americans have earlier diagnoses and treatment of renal disease.

There are reduced numbers of people with End Stage Renal Failure.
References
Risk Factors
Prevention- monitor patients at risk for renal failure

Nephrotoxic agents
dehydration (older adults)
infection-- skin breakdown (can result from edema)
The treatment depends on the underlying cause and the clinical manifestations
Treat electrolyte imbalances and continue to monitor for hypervolemia
Kayexalate for hyperkalemia

IV dextrose, insulin, calcium replacement to shift K+ into the cells

Sodium Bicarbonate therapy if concentration is below 15 mmol/L- to treat acidosis

Phosphate binding agents such as calcium binding agents—to decrease the absorption of phosphate from the intestinal track.

Pharmacology
Diabetes
Hypertension
Proteinuria
Family history
Increasing age
Chronic glomerulonephritis, or chronic pyelonephritis
Obstruction of urinary tract
Vascular and autoimmune diseases
Infection, medication, toxic
Environmental and occupational agents
African American, Hispanics, Native Americans

Acute renal disease has a mortality rate of
40 to 60%
Low potassium
High-Carbohydrates
https://www.kidney.org/atoz/content/potassium
Other interventions


Phases of Renal Failure

Chronic Kidney Disease | Healthy People 2020. (2014). Retrieved from http://www.healthypeople.gov/2020/topics-objectives/topic/chronic-kidney-disease

Gedeon, S. (2013). Comprehensive Case Study: Acute Kidney Injury. MEDSURG Nursing, 22(6), 400-402

Pellico, L. H. (2013). Nursing managment: patients with renal disorders. In Focus on adult health: Medical-surgical nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Restricted Protein
Thank You!
Full transcript