Acute Kidney Failure Research Paper

Improved Essays
What is the Development of Acute Kidney Failure (AKF)?

Acute kidney failure is a type of kidney failure that occurs when the kidneys suddenly lose their functions and become incapable of filtering wastes products from the blood. The chance of acquiring AKF is greater if the patient is already hospitalized. In addition, AKF develops quickly and require intensive treatment. On the other hand, the patients could recover normal renal function if their health are good. AKF is characterized by drowsiness, swelling, and shortness of breath. However, sometimes AKF does not appear any signs or symptoms. AKF has four phases which are the onset phase, the oliguric phase, the diuretic phase, and finally the recovery phase. In this essay, the development
…show more content…
The first phase which called onset phase occurs as a result of a reduce in the blood equipping to the kidney. Also, the onset phase could be triggered by burns, fluid loss, and diabetes insipidus. According to the ANA, “in the onset phase the renal blood flow of kidney is 25% of normal.” [1] Furthermore, the tissue oxygenation is also 25% of normal condition, and the urine output is below 0.5 ml/kg/hour. The duration for the onset phase endures for hours to days. The next phase is oliguric –also called anuric phase- happens when the level of blood urea nitrogen (BUN) and creatinine are increased. Moreover, oliguric phase decreases the amount of urine to less than 400 ml/day. Also, oliguric phase affects the electrolyte disturbance, acidosis, and fluid overload which lead to lose the capacity of the kidneys to excrete water. In this phase, uremic symptoms first appear and life-threating conditions develop. This phase can continue for eight to fourteen days or longer, and the duration depends on nature of acute kidney failure and dialysis …show more content…
In the onset phase, there is not enough blood in the kidneys, therefore, it affects the blood flow, the tissue oxygenation, and the urine output. The oliguric phase happens due to increase in the level of blood urea nitrogen and creatinine. Moreover, the symptoms start to appear and the condition evolves. Next, when the causes of acute renal failure have corrected, that means the diuretic phase presents. Finally, the kidneys will have recovered its functions in the recovery

Related Documents

  • Improved Essays

    A. S AKI Case Study

    • 796 Words
    • 4 Pages

    With prolonged perfusion problems the cause of the AKI can progress from perrenal to intrarenal. This happens when the prerenal cause (heart failure/decreased profusion) is proonged and actully causes direct injury to the kidney. I feel like this patients cause of AKI is progrossing from prerenal to intrarenal. 4. ( 1 point)…

    • 796 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Renal Failure Case Study

    • 824 Words
    • 4 Pages

    Specialty Menu for Chinese Patient With Renal Failure Diagnosis: Renal failure is the slow digression of the kidneys in the body system. The disease can either be acute, or become chronic, which is more common among the elderly. Judith Hopfer, April Hazard Vallerand, and Cynthia A. Sanoski describe in Davis's Drug Guide for Nurses how this occurs. This can result from injury or by the aging process where the kidneys begin to shut down. (Hopfer, Vallerand, Sanoski, 496).…

    • 824 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Sepsis Case Study Examples

    • 5681 Words
    • 23 Pages

    According to Schouten et al (2008), sepsis involves the activation of the coagulation cascade coupled with down-regulation of anticoagulation and fibrinolysis. An intricate link between inflammation and coagulation exists within the body (Neligan, 2006). When a pathogen is present in the bloodstream or when tissue injury occurs, an inflammatory response occurs. The response causes a stimulation of the immune system to produce interleukin-1 (IL-1), interleukin-6 (IL-6) and tumor necrosis factor alpha (TNFα) (Neligan, 2006). These cytokines are the main catalysts of the inflammatory response and cause the release of several agents including, interleukin-8, histamine, kinins, serotonin, selectins, and neutrophils.…

    • 5681 Words
    • 23 Pages
    Great Essays
  • Superior Essays

    Introduction Legionnaires’ Disease is a kind of common pneumonia and caused by bacteria, Legionella Pneumophila. Legionnaires’ Disease becomes more and more in recent years in Hong Kong. Background information The first outbreak of Legionnaires’ Disease happened in 1976 which found in Philadelphia in the United States and caused 34 people to die. It is an acute bacterial disease, its incubation period is 2-10 days.…

    • 763 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    The first publication of consensus criteria for AKI was published in 2004 by the Acute Dialysis Quality Initiative Group (ADQI). The system was termed RIFLE (risk, injury, failure, loss of kidney function, end-stage renal failure). It categorizes AKI into three severity classes -Risk, Injury and Failure- and two outcome classes, Loss of kidney function and End-stage kidney disease. Later, in 2007, the Acute Kidney Injury Network (AKIN) published a modified definition of the RIFLE criteria, outlining AKI as abrupt (occurring within 48 hours) and using a smaller change in serum creatinine from baseline in patients to calculate the AKIN stages. Stage 1 of AKI was defined as an increase in S.Cr greater than or equal 0.3 mg/dl or greater than or…

    • 197 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    Beta Blockers Study

    • 1696 Words
    • 7 Pages

    44. There is a recently discovered hormone known as Ghrelin. 1) Please explain the role this hormone is thought to play in the weight loss that occurs after stomach-reduction surgery. 2) Please analyze and decide for yourself whether it plays a decisive role, or not.…

    • 1696 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Dka Case Study Nursing

    • 683 Words
    • 3 Pages

    A year previously the creatinine level of the patient was taken and was safely in the normal range as shown in figure 6. After admission a EP was ordered and the results for creatinine were high for the patient as an individual despite being in the normal range which showed that AKI stage one was occurring which required immediate attention. Then the creatinine then entered in a sharp decline as the patient was on an IV drip and not eating or drinking. Also there was lots of excretion due to the DKA. In two GP appointments after treatment the creatinine was at the patient’s average again.…

    • 683 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    If you really wanted to know if signs of kidney failure you can have either have a urine test done or get your blood pressure taken. If you decide to not get those test done some signs and symptoms of kidney failure are you might start throwing up a lot, have headaches, loss weight out of nowhere, and feel nausea. When someone who starts to hit the ending stage will have symptoms like change of urination, swelling ankles, legs, feet, face, or hands. Their skin will start to become dry and itchy. Your eating habits will start to change causing you to lose a lot of weight.…

    • 921 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Norma James Case Study

    • 694 Words
    • 3 Pages

    In Ms. Jones’s case her afib is combined with congestive heart failure which is causing the fluid overload resulting in enema in her legs, fluid in her lungs and shortness of breath. The doctor has prescribed a diuretic, Lasix which will cause the patient to have frequent urination and rid the body of excess fluid. I explain, potassium is lost with urine therefore, we are also administering a potassium…

    • 694 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Mr Goodpasture

    • 486 Words
    • 2 Pages

    This increases fluid volume and a subsequent further increase in blood pressure (Bullock & Hales, 2013; LeMone et al., 2013). Due to the increased pressure on the nephrons there is nephron loss (Bullock & Hales, 2013; LeMone et al., 2013). The remaining functioning nephrons hypertrophy and there is a subsequent increase in glomerular flow and pressure to compensate for the loss of nephrons (Bullock & Hales, 2013; LeMone et al., 2013). Eventually the remaining nephrons become non-functional due to focal glomerulosclerosis resulting in a severe loss of kidney function, called ESRD (Bullock & Hales, 2013; Berman et al., 2012;…

    • 486 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    There is an increase in the bicarbonate HCO3 and the PCO2, pH maybe high or normal (McCance and Huether, 2019). As the acids are build up in the body, the kidneys are unable to get rid of the excessive acid. As this process continues, the kidneys began to fail and can no longer excrete the acid and this process results in metabolic alkalosis. The body attempts to compensate during metabolic alkalosis, when the pH begins to rise through decreasing the patient respiration rate. As the patient respiration decreases, carbon dioxide is retained, the HCO3 concentration to H2CO3 concentration is reduced to normal.…

    • 904 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Throughout decades, healthcare in Australia have worked hard through both on individuals and populations to improved the Aboriginal health compared to non-Aboriginal. In the past, many of Aboriginals generations have neglected as a result of discrimination and deficiency of healthcare services in remote areas (National Aboriginal Community Controlled Health Organization). Hence, the Royal Australian College of General Practitioners (RACGP) (p.9), has announced in 2010, one of their priorities is to improve Aboriginal health by understanding their history and culture and defy racism in GPs practices. There are three main determinants associated with the poor health of Aborigines. First, mental health, which considered a fundamental component…

    • 1727 Words
    • 7 Pages
    Improved Essays
  • Superior Essays

    The quantity of urine produced can be affected by several factors that include; age, fluid consumption, certain foods, medical conditions, medications etc. The renal functioning can be disrupted by diseases or disorders which include heart diseases, glomerulonephritis, urinary tract infections, congenital kidney problems, overuse of some medications, diabetes etc. These disorders lead to improper functioning of urinary system which is referred to as renal disorders. When patients visit the health institution with these problems, the nurses conduct assessment on the patients which include history taking and physical examination. During history taking, the nurse obtains personal history, family history, current and past urinary problems, complaints on current…

    • 1572 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    They had a normal urobilinogen and pH value and had small amounts of specific gravity and bilirubin present. When compared with the control patient, a patient with glomerulonephritis had trace amounts of leukocytes, a high amount of protein, and a large amount of blood present. A patient with type 2 diabetes mellitus had a larger than normal amount of glucose present. A patient that was dehydrated had a big increase in their pH level and had higher then normal traces of glucose present. A patient with nephrotic syndrome had a large amount of protein and a moderate amount of bilirubin…

    • 547 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    a. Hypertriglyceridemia: During the initiation of dialysis, disturbances of lipid metabolism are accentuated and contribute to cardiovascular complications (Smeltzer et. al., 2010, p. 1335) b. Hyperglycemia: with decreasing renal function, it takes longer for oral hypoglycemia agents to be excreted by the kidneys (Smeltzer et. al., 2010, p. 1223).…

    • 949 Words
    • 4 Pages
    Superior Essays