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Acute renal failure in children
1.
2. DEFINITION
Sudden reduction in renal function
Kidneys are unable to excrete nitrogenous waste
products
Plus water and electrolyte balance
Oliguric <400/m2/day
Non-oliguric
ARF in neonates<1ml/kg/hr
4. Acute Chronic
1. sudden
onset.
2.Rapid
reduction
in urine
output
3.Usually
reversible
4.Tubular cell
death and
regeneration
1.Progressive
2.Not
reversible
3.Nephron
loss
4.75% of
function can
be lost before
its noticeable
7. RENAL;
ATN
Renal vasoconstriction, tubular obstruction with
debris, passive back diffusion of glomerular filterate
Acute AGN of various types
Acute interstitial nephritis
14. Pre renal ARF
Fluid therapy;
Severe dehydration;20ml/kg over ½ hr
No output, lasix 2mg/kg
Dopamine infusion to improve renal perfusion
Renal failure with fluid overload;
No IV fluid, only lasix, 2 doses
Peritoneal dialysis