Monday, February 25, 2013

Acute Renal Failure

Acute Renal nonstarter
Diagnosis: Acute Renal Failure (ARF)
Defined: Acute Renal failure represents a rapid decline in kidney function sufficient to increase agate line levels of nitrogenous wastes and impair fluid and electrolyte balance (Carol Mattson Porth, Glenn Matfin, 2009, pg.855)
Pathophysiology: Acute renal failure is abrupt in onset and often is correctable if recognized early and treated appropriately. Its caused by Conditions that experience an acute shut down in renal function. ARF tail result from decresed blood eat to the kidney (prerenal failure), disorders that disrupt the structures in the kidney (intrinsic or intrarenal failure), or disorders that interfere with the elimination of water supply from the kidney (post renal failure).(Carol Mattson Porth, Glenn Matfin, 2009, pg 855).
ARF consequences accept HTN, Hyperkalemia, Acidosis, Oliguria (a decrease in urine output less than 400ml/day). These consequences tint all the organ systems in the body. (Carol Mattson Porth, Glenn Matfin 2009)
Cause: The presented diligent scenario along with the information given indicate that Ms. Smith suffers from ARF that is caused by ascetic dehyd balancen. This severe dehydration in turn produces Prerenal acute renal failure due to decrease renal blood f diminished and decrease glomerular perfusion and filtration.

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Based on the above patient diagnosis the labs would be as follows:
K or thousand will be elevated to more than the normal ratio: K >5
Creatinine elevated: >2
Bun elevated: >20
Urea & angstrom; sulfate will be elevated
Sodium levels will be normal or low
Calcium will be low & phosphate will be high.
Hgb will be low: <12
Urinalysis: patient has low urine output and urine will have low precise gravity.
ABG results: Patient will be in a disk operating system of Metabolic Acidosis:
PH < 7.35
WNL pCo2
HCO3 <22
The Following nursing Care mean will be followed:
1. Monitor Vital signs every 4 hours
2. Monitor fluid intake & urine output...If you requisite to get a full essay, order it on our website: Orderessay



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