Acute Renal Failure

Question 1

What is the definition of acute renal failure?

Answer 1

Sudden lost of kidney function to excrete toxins and regulate fluids/electrolytes

Question 2

What are some of tge 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 returns, hypokalemia, hypotension, BUN/ Creatinine decreases but still elevated

Question 7

What are the nursing interventions?

Answer 7

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

Question 8

What is the best diet for a client with ARF?

Answer 8

High carb and low protein