Acute Renal Failure Acute Renal Failure Reloaded Anatomy Systemic Effects Case Study
100
What is acute renal failure (ARF)?
sudden loss of kidney function with a buildup of toxic waste products in the blood
100
What is Acute tubular necrosis (ATN)
damage to the renal tubules caused by ischemia and toxicity
100
What is the collecting duct?
receives urine from the tubules of several nephrons and passes it to the renal pelvis, then the ureters
100
What are causes of hypertension in ARF?
fluid retention, renin overproduction
100
What is intrarenal ARF?
obstructive uropathy causes this kind of renal failure
200
What are the most common causes of renal failure?
ischemia and toxicity
200
What is post renal failure acute renal failure (ARF)
caused by conditions that block urine flow
200
What are the peritubular capillaries?
allows the exchanges between the tubules
200
What are signs of hyperkalemia in ARF?
muscle weakness, loss of muscle tone, neuromuscular irritability
200
What is a UTI?
The patient's UA results are positive for RBC, WBC, bacteria, WBC clumps and leukocyte esterase the patient is most likey suffering from
300
What is prerenal acute renal failure (ARF)?
Caused by decreased blood flow to the kidneys causing ischemia of the nephrons
300
What is oliguria?
Less than 400ml of urine output in 24 hours
300
What is the Loop of Henle?
concentrates and dilutes the urine
300
What are causes of anemia in ARF?
impaired RBC production, hemolysis, reduced RBC survival, less production of erythropoietin
300
What is hydronephrosis?
The patient's CT of the Abdomen is positive for a 6mm obstructing ureteral stone. Obstruction of a ureter can result in this renal condition
400
What are other important causes of prerenal acute renal failure?
Non-steroidal anti-inflammatory drugs, cyclooxygenase inhibitors, angiotensi converting enzyme inhibitors
400
What are neprhotoxic substances that can cause intrarenal acute renal failure (ARF)?
radiocontrast media, cyclosporine, antibiotics, chemotherapy
400
What is the glomerulus?
group of capillaries that filters particles and waste products into liquid filtrate
400
What is uremia?
triggers colits, gastric ulcers, anorexia, nausea and vomitting
400
What is prerenal acute renal failure?
The patient's admitting temp was 101.6, HR 113, BP 118/62, RR29, lactic acid 2.4 these symptoms are indicative of sepsis. Sepsis is a cause of this type of renal failure
500
What is intrarenal acute renal failure?
Caused by damage to the renal parenchyma
500
What large and small vessel diseases that cause ischemic intrarenal acute renal failure?
Renal artery stenosis and glomerulinephritis
500
What is Bowman's capsule?
starting point of the tubule, surrounds the glomerulus, reabsorption and secretion take place here
500
What is 60 days?
life span of a RBC in ARF
500
What is metabolic acidosis?
Secondary to renal failure the patient would most likely experience what type of acid base imbalance?






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