4. Acute renal failure Flashcards
1
Q
How common is it?
A
Very common in primary and secondary care
15% of emergency admissions
2
Q
Who does it affect?
A
Most common in hospitalised patients
>65s
3
Q
What risk factors are there?
A
Increasing age
Diabetes
Heart failure
Underlying renal insufficiency
4
Q
What risk factors are there?
A
Increasing age
Nephrotoxic drug use
Heart failure, diabetes
Underlying renal insufficiency
5
Q
How does it present?
A
Anuria / oliguria
Fatigue
N+V
Confusion, drowsiness
6
Q
What signs may the patient have on examination?
A
Arrhythmias
Palpable bladder
Hypertrophied prostate
7
Q
How would you investigate?
A
Renal tract USS Cystoscopy Urinalysis Urine microscopy and culture FBC, U+Es etc ECG CXR
8
Q
What treatments are there?
A
Treat life-threatening features eg shock, hypotension, hyperkalaemia
Treat underlying cause eg GI bleeding, pneumonia causing dehydration
Stop nephrotoxic drugs
Assess volume status
