Doctor insights on:
The Oliguric Anuric Phase Of 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
A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...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
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
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
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
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
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
Acute renal failure: Failure means kidneys stopped completely. Insufficiency not completely gone but not normal. ...Read more
Hoping you can tell me, is common predisposing factor for pre-renal acute renal failure post-operatively?
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
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
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
How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF?
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
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
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
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
Creatinine level is 12.6. Can this be brought down? Can it be a case of acute renal failure and things get back to normal after some treatment?
ELEV. CREAT: It depends on the diagnosis, cause and timeframe of the issues. ...Read more
Can a person survive prerenal acute renal failure due to severe dehydration without medical help? If so, what are the consequences of not gettin help?
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
My husband thinks that he has kidney stones and people keep mentioning something else called acute renal failure. What is that?
Different condition: Acute renal failure (called acute kidney injury) is a short term kidney weakness which is likely to resolve or go on to become long term (chronic kidney disease) if cause is not corrected. One of the causes of acute kidney failure is stone disease. Other causes include enlarged prostate. ...Read more
Speak w/ icu doc...: There are some calculators that have been developed to predict mortality in the icu. These are for specific populations and may not pertain to your mother, but it'd be good to discuss more in depth with your mother's ICU doctor. One of these measures is called the apache score. A more indepth conversation should involve goals of care, and how invasive your mother would want medical care to be. ...Read more
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