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Acute Renal Failure - Acute Renal Failure symptom, treatment, causes


Acute Renal Failure form of kidney failure which is suspecteq when the urine volume is < 400 ml/day, or when the production of urine is low in the presence of serious systemic illness.

More than 80% of Acute Renal Failure occurs from generalized illnesses that affect the kidney secondarily.

Acute renal failure means that your kidneys have suddenly stopped working. It is a serious disease and treated as a medical emergency . ARF occurs when the kidneys are unable to excrete (discharge) the daily load of toxins in the urine. When your kidneys stop working, waste products, fluids, and electrolytes build up in your body. In acute renal failure, the glomerular filtration rate decreases over days to weeks. As a result, excretion of nitrogenous waste is reduced, and fluid and electrolyte balances cannot be maintained. Before the development of renal replacement therapy, many people with acute renal failure died from severe electrolyte imbalance or from the uremic toxins themselves. Importantly, we were able to develop a consensus definition for acute renal failure.

There is an accumulation of fluid and nitrogenous waste products demonstrated by a rise in blood urea and creatinine. Accordingly, we sought to review the available evidence, make recommendations and delineate key questions for future studies. It is important to maintain adequate nutrition, preferably via the enteral route, but using parenteral nutrition if necessary. About half of people who develop acute renal failure recover, and most of those who recover have enough kidney function to live normal lives. It is also referred clinically as, An acute increase of the serum creatinine level from baseline and the urine output is less than 400 ml per day (oliguria), but it is not used strictly for acute renal failure.

These are:

. Shock from blood loss or burns
. Septic shock
. Circulatory failure
. Fall in blood pressure because of drugs or sepsis.

Hepatorenal syndrome ( form of Acute Renal Failure )

Aggressive form of Acute Renal Failure that complicates liver failure. It can occur in all advanced liver diseases.

Complications of Acute Renal Failure

When blood-flow to the kidney is drastically reduced over a long period, an irreversible form of Acute Renal Failure occurs: Acute Tubular Necrosis. As the term suggests, the tubules (part of the nephron) suffer irreversible damage.

Cause of Acute Renal Failure

Primary diseases of the kidney that cause Acute Renal Failure are those that affect the large blood vessels (renal artery/vein thrombosis) or the small vessels (diabetes mellitus, glomerular disease).

Acute Renal Failure may also be caused by severe urinary obstructions. ARF is a life-threatening disease and is treated in hospital.

Treatment of Acute Renal Failure

Treatment of Acute Renal Failure consists of correcting the biochemical problems that set in: water retention with hypertension and edema, electrolyte imbalance with high potassium levels, and uremia.

When the patient fails to respond to treatment, and serum creatinine rises uncontrollably, dialysis may be necessary.

 


 

Acute Renal Failure - Acute Renal Failure symptom, treatment, causes

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