Medical Surgical Nursing

(Tina Sui) #1

Treatment



  • Diuretics (be careful not to cause sever hypovolemia as it may lead to ARF)

  • Loop diuretics + ACE inhibitors lead to decreasing protienuria.

  • Immunosuppresive agents (i.e. cytoxan).

  • Coriticosteroids.

  • Restrict protein and sodium.


Acute Renal Failure (ARF)



  • Is a reversible clinical syndrome where there is a sudden and almost complete loss of
    kidney function (decreased GFR) over a period of hours to days with failure to excrete


nitrogenous waste products and to maintain fluid and electrolyte homeostasis



  • May progress to end stage renal disease, uremic syndrome, and death without


treatment



  • Persons at Risks

  • Major surgery

  • Major trauma

  • Receiving nephrotoxic medications

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