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Pathophysiology of the three different types of Acute Renal Failure (ARF)
Pathophysiology acute renal failure
Pathophysiology of the three different types of Acute Renal Failure (ARF)
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Acute Renal Failure
A client arrives at a clinic with with complains of asthenia, malaise, headache,
weight gain, and a decrease in urination. A tentative diagnosis of acute renal failure is
made. Explain the pathophysiology of acute renal failure. Include prerenal, intrarenal and
postrenal cause. Acute kidney failure occurs when the kidneys are no longer able to
filture waste products from your blood. Unfortunatley this leads to unbalanced levels
of waste accumilated in the blood making this a very serious problem. This condition
can be fatal and requires intensive treatment. Fortunately, however this may be reversible. Prerenal kidney failure occurs suddently when a reduction in blood flow to the kidneys causes loss of kidney function. Prerenal renal failure is the most common type of acute renal failure. This complication is product of many diseases, conditions, and medications that decrease the normal amount of fluid and blood especially in the body. Some examples of these medications are ACE Inhibitors and NSAIDS, severe dehydration, and burns. Another type of kidney faiulre is Intrarenal. This condition occurs when direct damage to the kineys causes a sudden loss of kidney function. Acute tubular nerosis is a very common cause of Intrarenal renal failure, a condition in which the small filtering tubes in the kidney are injured. Other causes are complicated surgeries
ACUTE RENAL FAILURE 3 (cardiovascular or abdominal), severe b...
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A 54 year old female was presented with complaints of lethargy, excessive thirst and diminished appetite. Given the fact that these symptoms are very broad and could be the underlying cause of various diseases, the physician decided to order a urinalysis by cystoscope; a comprehensive diagnostic chemistry panel; and a CBC with differential, to acquire a better understanding on his patient health status. The following abnormal results caught the physician’s attention:
There are two types of glomerulonephritis—acute renal failure (ARF) and chronic kidney disease (CKD). The ACF form generally develops suddenly as a result of an infection or illness, such as, group A streptococci bacteria, hepatitis, or in diseases such as lupus or HIV (Mathias, 2013). This type may require dialysis to replace renal function while it lasts, however, kidney function usually returns after the primary illness is treated. Many acute patients will not have any other complications as no permanent damage is done. Whereas CKD is found in a person that has had glomerulonephritis for months to years in some cases and may be asymptomatic until the kidney has become irreversibly damaged. ARF can evolve to become chronic if the glomeruli do not respond to
Pathophysiology There are three different stages of acute renal failure; prerenal, intrarenal, and post renal. Prerenal failure is a result from an illness or injury that causes obstruction of blood flow to the kidneys, called hypoperfusion. Hypotension, hypervolemia and inadequate cardiac output are all examples that could cause prerenal failure. According to Lippincott Williams and Wilkins (2009), “prerenal azotemia, excess nitrogenous waste products in the blood, account for 40% to 80% of all cases of acute renal failure” (p. 307). Intrarenal is when there is direct damage to the kidney tissue by either inflammations, drugs, infections or a reduction in the blood supply to the kidney. Post renal is when there is an obstruction of the urine flow. Causes of obstruction could be enlarged prostate gland, kidney stones, bladder tumor or injury. There are four phases of acute renal failure; onset, oliguria, diuresis and recovery. The onset phase can last hours or up to days. The BUN and creatinine levels may start to increas...
The renal disease are common nowadays .The acute renal failure is a medical term means that the kidneys stopped from working and not able to clear toxins from body ,not able to maintained a stable electrolyte balance inside the body and not able to secret the extra fluid as urine outside the body. The renal replacement therapy (RRT) or dialysis has been discovered on 1913 by Able, Rowntree and Turner in London, UK.
Sepsis is a severe medical condition that is caused by an infection in the body that travels to the blood stream. This infection has extremely high death rates and can be linked to most admissions in the intensive care unit. There is a series of events that happens once an infection occurs in the body. These events are preventable if caught early on in this cascade.
United States Renal Data System (USRDS). (2008). Annual data report: Incidence and prevalence. Retrieved July 8, 2009, from http://www.usrds.org/2008/pdf/V2-02-2008.pdf
This article is for people whose kidneys fail to work. This condition is called end-stage renal disease (ESRD).
The root cause of all of these symptoms is probably the same (Sizer and Whitney 113). Late symptoms include hypotension, oliguria (secretion of a diminished amount of urine in relation to fluid intake) or anuria (the complete suppression of urinary secretion by the kidneys) (American Diabetes Association).... ... middle of paper ...
Chronic kidney disease (CKD) is increasingly becoming a major community and public health issue. This paper looks into CKD as both a community and public issue and proposes how concerned stakeholders and partners can be mobilized to work together toward fighting the disease.
Kidney Function Introduction and definition of terms: The kidneys are the main organs in the urinary system. They filter waste products out of blood from the renal artery. These are then excreted. Useful solutes are reabsorbed into the blood. They also have a major homeostatic role in the body, and help to control the water content (osmoregulation) and pH of the blood.
blocked has now shut down. This kidney, if left untreated for just a few days,
Heart failure with low blood pressure that prevents enough blood from flowing to the kidneys
From the results of the numerous tests carried out according to the patient history of frothy urine with a significant oedema over a maximum period of 5 days, the patient was diagnosed with Nephrotic Syndrome. This is condition that occurs due to leakage in the kidney filtration part leading to a large amount of protein leaking from the blood into the urine. This is mainly due to fluid retention known as oedema which is as a result of low protein level in the blood. It occurs due to abnormal functioning or a part of the kidney is affected (glomeruli). This syndrome can be caused by numerous diseases coming together to cause or form one particular disease; these causes range from minimal change disease, membranous nephropathy, focal segmental glomerulosclerosis (FSGS) and other conditions, disorders of the glomeruli. The membranous nephropathy also known as the membranous nephritis or membranous glomerulonephritis, only causes diseases in adults and very uncommon in children. Leakage occurs from this due to the thickening of the membranous in the glomeruli which is the filter of the glomeruli. Focal segmental glomerulosclerosis is a causative due to the formation of small scars (sclerosis) on some of the kidney glomeruli. Another form of cause of nephrotic is minimal change which is due to lack of virtual change detected in the glomeruli when examined under the microscope. This causes the syndrome in 9 out of a total of 10 children under the age of 5 years.
I choose this topic because my grandmother had died of kidney failure. Dialysis kept her alive for two weeks before she died. She had to go under dialysis but due to her weight, her heart problems and having diabetes, her body could not withstand the process and she died. Constructing a thesis statement and a topic sentence was difficult for me. I noticed I need more practice on constructing a thesis statement and the topic sentence. My evidence was kind of hard to find, I had to read a lot of article to get the right information to support my paper. Overall, writing the paper was a little bit difficult but learn how to construct a thesis and topic sentence. I used the Michigan state university library search tool on the website to find articles
“To acquire knowledge, one must study; but to acquire wisdom, one must observe.” – Marilyn Vos Savant. Observation is the key to acquiring wisdom. By being inquisitive we realize that we have so much to learn from others. I was able to do just that. I had the opportunity to learn about hemodialysis from a nurse that’s been working in dialysis for over twenty years. He taught me the responsibilities and roles of the medical team, what can be delegated to the nurse support staff, explained the skills and training needed to work as a dialysis nurse, the priorities in dialysis, stressors for patients and nursing staff, the various types and functions of hemodialysis equipment, and general nursing diagnoses to be aware of for hemodialysis patients.