A BRIEF OVERVIEW ABOUT ARF AND CASE PRESENTATION ON ARF.

1. acute renal failure
A condition in which the kidneys fail to remove metabolic
end products from the blood and regulate the fluid,
electrolyte, and pH balance of the extracellular fluids.

2. PATIENT DETAILS-
NAME- X.Y.Z
SEX- FEMALE
AGE- 80 yrs.
Weight- N/A

3. SUBJECTIVE DATA-
CHIEF COMPLAINTS-
From last one week suffer from nausea and vomiting with minimal abdomen pain.
• PAST MEDICAL HISTORY-
HTN From 20 YRS, Left Hemispheric Cerebrovascular accident. Known
lumbosacral spine stenosis/listhesis with increasing back pain and loss of strength
in lower legs, Anemia, Cholecystectomy.
• PAST MEDICATION HISTORY- IBUPROFEN, NAPROSYN
• SOCIAL HISTORY- SMOKING (DAILY)
• FAMILY HISTORY- N/A
• ALLERGIES- VOLTAREN (nausea).

4. OBJECTIVE DATA-
Laboratory exam-
• Hgb-9 gm/dl
• Serum iron- 20,
• ferritin 325
• Sodium- 128
• Potassium- 5.1
• Chloride- 100
• BUN- 34
• Creatinine- 2.8
• Glucose- 100
• bicarbonate- 23
• calcium- 7.6
• albumin- 2.7
• Cholesterol- 225
• CXR - borderline cardiomegaly
• Urinalysis: yellow, hazy, pH 5.
• 24 hour urine: clearance 9ml/min; total protein = 1100mg per day

5. ASSESSMENT
Diagnosis- ACUTE RENAL FAILURE

6. TREATMENT:
•Amitriptyline
•Aspirin- 81 mg
•Atorvastatin
•Clonidine
•Plavix
•Lisinopril
•Metoprolol
•Protonix
•Centrum
• 1000mg- Solumedrol (3
days).

7. INTERACTIONS:
DRUG- DRUG INTERACTION-
Centrum reacts with Protonix
As Protonix is PPI it reduces stomach acid and thus it can reduce
absorption of vitamins.

8. PATIENT COUNSELLING-
• Keep a record of everything she eat and drink.
• Measure the amount of urine and stool you have each day.
• Keep a daily record of her daily weights.
• Take her temperature every day, Keep a record of the results.
• Learn to take your own blood pressure (BP). Keep a record of your results. Bring the record to
your follow-up appointments.
• Ask your healthcare provider when you should seek emergency medical attention. Your provider
will tell you what blood pressure reading is dangerous.
• Stay away from people who have infections (colds, bronchitis, or skin conditions).
• Practice good personal hygiene, Wash your hands often. She may need frequent blood and urine
tests. These are done to monitor your kidney function.

9. REFERNCE-
https://phdres.caregate.net/curriculum/ppt_f
iles/renal-ARF042006.ppt
drugs.com

10. Thank You
Any ?