Acute Renal Failure

Question 1

What is the definition of acute renal failure?

Answer 1

Student loss of kidney function to excrete toxins and regulate fluids/electrolytes.

Question 2

What are some possible causes of ARF?

Answer 2

Infection, obstruction,shock

Question 3

There are three phases;what are they?

Answer 3

Oliguric, diuretic and recovery

Question 4

During the oliguric phase,what will you see?

Answer 4

This phase lasts one to two weeks. Low urine output <400

Hyperkalemia, hypertension, elevated BUN/creatinine fluid overload

Question 5

What other two electrolytes will be elevated?

Answer 5

Sodium and potassium

Question 6

The diuretic phase is second what will you see?

Answer 6

Urine output slowly

Question 7

What does recovery phase mean?

Answer 7

The kidneys are recovering through a slow process. Urine output increases and BUN is normal.

Question 8

What are the nursing interventions?

Answer 8

Daily weights, strict I & O’s treat the causes of renal failure and diuretics

Question 9

What is the best diet for a client with ARF?

Answer 9

High carb and low protein