Acute Renal Failure

Question 1

How to manage/NI?

Answer 1

–

Question 2

O2

Answer 2

Tissue oxygen needs

Question 3

Monitor BP/Pulse/RR

Answer 3

BP may be increased-hypervolemia during oliguric phase

BP may be decreased-hypovolemia during diuretic phase

Question 4

Monitor I/O - strict I/O

Answer 4

Fluid balance / fluid retention

Question 5

Obtain Daily weights

Answer 5

determines fluid retention

1kg increase= 1 L fluid retention

Question 6

Monitor for electrolyte imblances esp Potassium

Answer 6

at risk for cardiac dysrhthmias

Question 7

Review patients med regimen to look for nephrotoxic med/ Discontinue nephrotoxic med

Answer 7

to prevent further toxicity to kidneys

Question 8

Maintain aseptic technique

Answer 8

infection is leading cause of death in ARF

Question 9

Monitor BUN/Creatinine levels

Answer 9

Increased due to failing kidney(s)

Question 10

bedrest

Answer 10

to decrease metabolic rate

Question 11

Meticulous skin care

Answer 11

patients usually develop edema and decreased muscular tone ; prevent pressure ulcers

Question 12

prepare patient for dialysis

Answer 12

failing kidnery - aids in removing harmful waste, and excess water from blood

Question 13

WHAT TO REPORT TO PHYSICIAN?

Answer 13

Urine output!

Question 14

2re

Answer 14

BP/Pulse/RR

Question 15

3re

Answer 15

Recent weight gain/ edema

Question 16

4re

Answer 16

change in condition

Question 17

5re

Answer 17

ecchymosis

Question 18

WHAT TO ANTICIPATE ?

Answer 18

O2

Question 19

2an

Answer 19

cardiac Monitoring

Question 20

3an

Answer 20

UA-24 hour urine collection

Question 21

4an

Answer 21

BUN/Creatinine

Question 22

5ane

Answer 22

electrolytes

Question 23

6an

Answer 23

GFR

Question 24

7an

Answer 24

Renal Angiogram

Question 25

8an

Answer 25

retrograde pyelogram

Question 26

9an

Answer 26

cystoscopy

Question 27

10an

Answer 27

KUB scan

Question 28

11an

Answer 28

MRI

Question 29

12an

Answer 29

daily weights

Question 30

13an

Answer 30

Dialysis; renal transplant if indicated

Question 31

14an

Answer 31

bed rest

Question 32

15an

Answer 32

kayexalate

Question 33

16an

Answer 33

Fluid restriction if indicate