Ch 14 ppt renal

Chapter 14 Care of the Patient with Acute Renal Failure

Prerenal (~60% of cases of ARF) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prerenal (~60% of cases of ARF) (cont.) ,[object Object],[object Object]

Nursing Management Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nursing Management Assessment (cont.) ,[object Object],[object Object],[object Object],[object Object]

Patient Assessment for Hypovolemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient Assessment For Extreme Vasodilation or Cardiovascular Disease ,[object Object],[object Object],[object Object],[object Object]

Intrarenal (intrinsic) (~30–40% of cases of ARF) ,[object Object],[object Object]

Inflammatory Mediators ,[object Object],[object Object],[object Object],[object Object],[object Object]

Postrenal (5–10% of cases of ARF) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Renal Failure ,[object Object],[object Object],[object Object],[object Object]

Differential Testing—Urinalysis Urine Results Prerenal Dysfunction Intrinsic Dysfunction Urine osmolality > 500 mOsm/L < 350 mOsm/L Urine sodium < 20 mmol/L > 40 mmol/L Fractional excretion of: Sodium (FENa) Less than 1% Greater than 1% Casts Few ++ Sediment Little ++

Management of Prerenal Dysfunction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of Prerenal Dysfunction (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prevention of Further Renal Injury During Renal Failure ,[object Object],[object Object],[object Object],[object Object],[object Object]

Management of Electrolyte Imbalance: Dilutional Hyponatremia ,[object Object],[object Object]

Management of Electrolyte Imbalance: Hyperkalemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of Electrolyte Imbalance: Hypocalcemia ,[object Object],[object Object]

Management of Electrolyte Imbalance: Hyperphosphatemia ,[object Object],[object Object],[object Object],[object Object]

Fluid Volume Management ,[object Object],[object Object],[object Object]

Disadvantages of Peritoneal Dialysis for Treatment of Acute Renal Failure ,[object Object],[object Object],[object Object],[object Object],[object Object]

Continuous Renal Replacement Therapies ,[object Object],[object Object],[object Object],[object Object]

Hemodialysis (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nursing Management of Patients Requiring Hemodialysis ,[object Object],[object Object],[object Object]

Nursing Management of Patients Requiring Hemodialysis (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nursing Measures for a Patient Prior to Hemodialysis ,[object Object],[object Object]

Nursing Measures for a Patient Prior to Hemodialysis (cont.) ,[object Object],[object Object]

Nursing Management of Patients Requiring CRRT ,[object Object],[object Object],[object Object],[object Object],[object Object]

Ch 14 ppt renal

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Ch 14 ppt renal