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Doctor insights on: Phases Of Acute Renal Failure

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Dr. Jack Rubin
92 doctors shared insights

Acute Renal Failure (Definition)

Acute renal failure, also known as acute kidney failure, occurs when your body is unable to clear out the products of metabolism that are normally filtered and excreted by your kidneys. Accute renal failure can be caused by the obstruction of urine flow, infection, severe metabolic ...Read more


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What is the difference between acute renal failure and acute renal insufficiency?

What is the difference between acute renal failure and acute renal insufficiency?

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

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What are the complications of acute renal failure?

What are the complications of acute renal failure?

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

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What is the difference between acute renal failure and end-stage renal failure?

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

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Hi, is the metabolic acidosis in chronic renal failure fatal ?

Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more

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What are signs of acute kidney failure?

What are signs of acute kidney failure?

Decrease urination: There are multiple signs of acute renal failure (arf). The first sign that must people realize is a decrease in urine output as well as noticeable swelling in their lower extremities. ARF can also be detected by your doctor by blood and urine tests. If you have severe forms of arf, then you develop decrease in appetite, insomnia and anemia. ...Read more

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What usually causes acute kidney failure in the elderly?

What usually causes acute kidney failure in the elderly?

Meds and Dehydration: Acute kidney failure occurs predominantly from newly prescribed medications like a diuretic (hctz (hydrochlorothiazide) or lasix) or from certain anti-hypertensive medications like an ace or arb (enalapril or cozaar). Also akf occurs in the elderly if they do not get enough water intake especially in warm environments when they sweat a lot. ...Read more

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How are acute and chronic kidney failure different?

How are acute and chronic kidney failure different?

Acute: recent: In gral. "acute" means of "recent" origen, and "chronic" means "old" or less recent. Some classifications use 6 months for "subacute". Chronic renal failure is insidious and depends upon the cause and how fast it gets worst. Acute renal failure usually is caused by low fluid volume in the body either dehydration or bleeding or it may be caused by toxins (poison, medications , dye contrast). ...Read more

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What is the difference between acute renal failure and acute tubular necrosis?

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

Dr. Jay Park Dr. Park
2 doctors agreed:
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What is metabolic acidosis in chronic renal failure from?

Dr. Jay Park Dr. Park
2 doctors agreed:
What is metabolic acidosis in chronic renal failure from?

Unable to remove: Metabolic acidosis is a constituent of renal failure, arising mainly from the inability of kidney to remove excess acids in blood. ...Read more

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What is acute renal failure?

What is acute renal failure?

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

Dr. Jay Park Dr. Park
3 doctors agreed:
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What are symptoms of acute kidney failure?

Dr. Jay Park Dr. Park
3 doctors agreed:
What are symptoms of acute kidney failure?

Low urine output: Acute kidney failure results in low or no urine output, fluid overload, and hypertension. ...Read more

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What causes acute kidney failure?

What causes acute kidney failure?

Toxic insults: Low blood pressure, interruption of blood flow, obstruction of urine flow, drug allergies, toxic drugs, autoimmune disease, heart failure, chronic liver disease, sepsis, underlying problems such as diabetes and myeloma increase the chance for renal failure. There are many causes, most are evident upon inspection of the patient, this requires expert attention and action to reverse the process. ...Read more

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Symptoms of acute kidney disease?

Symptoms of acute kidney disease?

Decreased Urination: Acute kidney disease represents an attack against the attack usually from profound dehydration, nephrotoxic agents like antibiotics or from bacterial infections. The symptoms range from decrease in urine output, nausea and loss of appetite. The most critical side effect is rapid increase in potassium that can be very dangerous. ...Read more

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Is jaundice in renal failure patients and indication of liver failure as well?

Is jaundice in renal failure patients and indication of liver failure as well?

Many causes: Many potential causes of jaundice but not renal failure alone and haudice does not equate to liver failure causes and be meds, viral, infection, gallstones , etc extensive lab and ultrasound or cat scan would be needed to determine cause. ...Read more

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Treatment of acute pancreatitis?

Treatment of acute pancreatitis?

It depends: In acute pancreatitis the basic treatment is resting the pancreas, by limiting intake of food. Also you are given IV fluids and pain medication. If the pancreatitis becomes very severe you may need antibiotics and in rare circumstances surgery. The other thing that is done is investigating the cause in order to prevent future attacks. ...Read more

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What is the difference between chronic renal failure and end-stage renal disease?

What is the difference between chronic renal failure and end-stage renal disease?

Stages: Chronic kidney disease can be staged based on creatinine clearance in 5 stages. End stage usually designates stage 5 of chronic kidney disease. ...Read more

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What is the difference between chronic renal failure and chronic renal insufficiency?

What is the difference between chronic renal failure and chronic renal insufficiency?

Terminology: Many physicians including nephrologists will use the terms chronic renal failure, chronic renal insufficiency, and chronic kidney disease interchangeably. Some will use the term "insufficiency" when the chronicity or the severity of the renal disease is not clear but in most instances, they are synonymous. ...Read more

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What is acute renal failure?

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

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Does acute renal failure reverse itself?

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

Dr. Jay Park Dr. Park
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What are the complications of acute renal failure?

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

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What are some medications that can cause acute renal failure?

What are some medications that can cause acute renal failure?

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

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What is the definition or description of: acute renal failure?

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

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What is the difference between acute renal failure and end-stage renal failure?

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

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How effective is dialysis for treating acute renal failure?

How effective is dialysis for treating acute renal failure?

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

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Can you please explain why ffp is given to acute renal failure patient?

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

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What is the difference between acute renal failure and acute renal insufficiency?

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

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What is a common predisposing factor for pre-renal acute renal failure post-operatively?

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

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What is the treatment for acute renal failure?

What is the treatment for acute renal failure?

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

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What is the difference between acute renal failure and ESRD?

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

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How effective is bumetanide for treating acute renal failure?

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

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How often could kidney function return if you suffered from acute renal failure?

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

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How often does kidney function fully return if you've suffered from acute renal failure?

How often does kidney function fully return if you've suffered from acute renal failure?

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

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Can drinking water reverse acute renal failure?

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

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