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Doctor insights on: Patient Teaching For Acute Renal Failure

Risk of bleed: Ffp has coagulation factors and is usually given to decrease the risk of bleeding. Some kidney diseases are also associated with abnrmalities in coagulation, therefore may need ffp. Kidney disease per se can increase the bleeding risk as some cells do not work well in kidney failure. Usually FFP are given when there is ongoing bleed, or there is high risk of bleed, or when procedure is planned. ...Read more

ARF and infection: Acute renal failure (ARF) has a frequently reported mortality in 20-80% of the patients. Infection, as a cause or a complication of the syndrome, is a risk factor which adversely determines its outcome. In a study in 2009, infection occurred in four fifths of critically ill patients with ARF treated with dialysis and was in an unadjusted analysis associated with longer los and higher mortality. ...Read more

Effect blood flow: Nsaids interfere with prostaglandin production in the kidney, some of which may cause blood vessels to dilate. Blocking the prostaglandin production causes the vessels to constrict and decreases blood flow to the kidney. Acei inhibit angiotensin ii production this allows the efferent arteriole to dilate, lowering the hydrostatic pressure in the glomerulous and decreasing kidney function. ...Read more

Renal failure death: Patients in the ICU who have a acute kidney failure (akf) have something that caused it, usually hypotension. The are very sick and have multi-systemic problems and may have an overwhelming infection leading to their akf. Although dialysis can replace kidney function lost in akf, it cannot perform any of the functions of other organs in the body. They need more than just kidney function to live. ...Read more

Depends: Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

Several: High potassium, fluid overload, metabolic acidosis, these problems can lead to heart failure, cardiac rythym disturbances and even death. ...Read more

Renal failure: Acute renal failure requires close attention to volume status, acid-base status, electrolytes, and any signs of uremia. These events might signal a need for urgent dialysis. Avoiding exposure to nephrotoxic meds is necessary. Studies to rule out obstruction (u/s usually) are necessary as well. ...Read more

Differences: Acute is something abrupt and may go away. ESRD is end-stage renal disease and will not go away. It will only get worse and requires significant involvement on the part of a bunch of highly trained/skilled healthcare providers/professionals (MDs, nurses, dietitians, etc.) ...Read more

Bumetanide: Where Lasix (furosemide) has failed bumetanide may succeed according to some peer reviewed publications. It has however, been less studied than Lasix (furosemide) in treating acute renal failure patients. ...Read more

No, but likely to: Cause lower abdominal discomfort and increase risk of bladder infection. ...Read more

Renal failure: Most people recover renal function (rf) between 2-3 weeks of their going into acute kidney failure (akf). A times, it may take up to 3 months to recover it. The longer it takes to recover (rf), the less likely it is that renal function will return to pre-akf levels. Ask a neprhologist for more information. ...Read more

Depends on disease: Acute kidney failure is a condition due to many different reasons. If the reason resolves the disease resolves usually with a mild residual. However, the time frame depends on reason and kind of kidney failure and even varies within the same kind depending on degree of involvement and health and age of the patient. ...Read more

Acute renal failure: This is when your kidneys abruptly stop working or greatly slow down in their ability to clean the blood of things that you body does not need. Many substances normally removed by the kidney are potentially harmful if they build up in your blood. Examples of this are too much acid, potentially harmful byproducts of drugs you are taking, and the end products of protein metabolism. ...Read more

With treatment: Generally yes, but intervention must occur as early as possible. It does depend on the severity. ...Read more

Low urine output: Some common symptoms and signs of acute renal failure are low urine output (oliguria), edema, and high blood pressure. ...Read more

ARF: Unable to clear out the products of metabolism that are normally filtered and excreted by your kidneys.
This can be estimated by your BUN and creatinine. If the creatinine rises above 4 this could be considered acute renal failure. ARF can be caused by obstruction of urine flow, infection, severe metabolic problems, drugs, poisonings. ...Read more

Treating ARF: When used correctly and the underlying reason is also treated correctly, you cannot beat the combination of medical management of ARF along with prudent dialysis. ...Read more

Acute renal failure: Failure means kidneys stopped completely. Insufficiency not completely gone but not normal. ...Read more

Surgery: Blood loss, inadequate volume resuscitation, excess diuretics, poor PO in take. Any thing that removes fluid from the body or reduces renal blood flow, such as low cardiac output. ...Read more

Yes,: Yes and as post-operatively BP may be low for a time and it can cause pre-renal acute renal failure! ...Read more

No: Oxycodone is not toxic to the kidney. ...Read more

Acute renal failure: It depends on the cause of the acute renal failure. If it is due to volume depletion/dehydration, then yes, fluids (either oral or iv), can often help reverse acute renal failure. However, often medications contribute to acute injury and may need to be stopped or adjusted. ...Read more

Depends: If the cause of renal failure is due to ureteral obstruction then very effective!
The key is to address the obstruction ASAP in order to avoid any permanent damage to the kidneys. Make sure to monitor for post obstructive diuresis marked by excessive urination after relief of obstruction. But, post-obstructive diuresis/natriuresis are good prognostic indicators of renal function recovery. ...Read more

Lasix (furosemide) and ARF: It really depends upon the cause for ARF. Lasix (furosemide) is however, still the mainstay of therapy in re-establishing urine flow during the recovery phase from an acute renal injury. ...Read more

Here are some...: Acute renal failure is a general term denoting kidneys not able to good enough to manage water and electrolytes due to acute conditions such as shocks from various reasons, and acute tubular necrosis denotes what can be seen in kidney tissue under microscopic exam if biopsy is done, but not necessary for almost all cases. Clinically, they all tell us kidneys not working enough from acute causes. ...Read more

Medicine vs. Poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more

ELEV. CREAT: It depends on the diagnosis, cause and timeframe of the issues. ...Read more

Not advised: Yes, but just because something can be done means that it should be down. A prolonged prerenal state can lead to severe tubular necrosis which is not quickly or always 100% reversible. Prolonged renal failure (prerenal or otherwise) if severe enough puts the individual at risk of death from chemical abnormalities and uremia. Short term risk death, if survives long term risk incomplete recovery. ...Read more

Lidney Toxic meds: Otc meds that are often toxic are nsaids like Motrin alleve and Aspirin (not low dose). Antihistamine decongestants can cause urinary retention in men with large prostates. Some prescription hypertension meds can shut down the kidney (ace or renin inhibitors or blockers). Some antibiotics, psychiatric and chemotherapy meds are directly toxic. Many drugs can cause allergic kidney reactions. ...Read more

Renal failure: Acute renal failure: seen in a healthy person who develops an illness (e.g. hemolytic uremic syndrome [in children] or septic shock and multiple organ dysfunction) that leads to renal failure. Often it resolves. End-stage renal disease implies that the problem has been there for weeks/months, is not going to resolve and the person may need kidney transplant ...Read more