Acute Renal Failure

Question 1

What the definition of acute renal failure

Answer 1

Sudden loss of kidney functions to excrete toxins and regulate fluid/electrolytes

Question 2

What are some possible causes of acute renal failure?

Answer 2

Infection
obstruction
shock

Question 3

There are three phases of acute renal failure what are they?

Answer 3

Oliguric
diuretic
recovery

Question 4

During the oliguric phase, what do you see?

Answer 4

• This phase last 1 to 2 weeks
• low urine output less than 400
• Hyperkalemia, hypertension, elevated BUN/creatinine, elevated sodium and potassium
• fluid overload

Elevated sodium and phosphate

Question 5

The diuretic phase second what will you see?

Answer 5

• urine output slowly returns, hypokalemia, hypotension, bun/creatinine decreases but still elevated

Question 6

What does recovery mean?

Answer 6

The kidneys are recovery through a slow process.

Urine output increases BUN is normal

Question 7

What are the nursing interventions for acute renal failure?

Answer 7

Treat the cause of renal failure

Diuretics

Strict I and Os

Daily weights

Question 8

What is the best diet for a client with acute renal failure?

Answer 8

High carb and low protein

Question 9

What 2 electrolytes will be elevated ?

Answer 9

Sodium and phosphate