Renal Failure Review

• Oligouria

• Diuresis

• Types of renal failure

• Acute - oligouria

  • Clinical profile

    • Pain in high hip pockets or flank pain

    • Not going to the bathroom

    • Hydrosatic pressure increased in the kidney causing deep pitting edema

    • High BP

    • Wt gain

    • Puffyness (usually in kids)

    • Dependent edema - when standing - legs

      • Goes to the lowest spot on the body

      • Collect in pleural space then - causing kusmal breathing

      • Trouble maintaining BBBarrier

      • Death finally from acidosis

  • Obstruction is most painful

  • Decreased appetite - satiety center is inhibited

  • Experience a depression of the motor function of the GI tract and have trouble clearing waste (uresa)

  • Sometimes vomiting present

  • Azotemia

    • Prerenal

    • Heart disease

      • Hypotension, stenosis of the renal artery,

      • Drug induced hypotension

    • Renal causes

      • Renal failure

      • Renal stenosis

    • Post renal

      • Obstructive events

        • Bladder stone

        • Bilateral ureter stones

        • Retroperitoneal fibrosis restriction

  • Murphys Punch could be positive

Category: Medicine Notes