Medical Surgical Nursing

(Tina Sui) #1

  • Vasodilation resulting from:

  • Sepsis

  • Anaphylaxis

  • Antihypertensive medications or other medications that cause vasodilation


Intrarenal Failure



  • Prolonged renal ischemia resulting from:

  • Pigment nephropathy (associated with the break-down of blood cells containing


pigments that in turn occlude kidney structures)



  • Myoglobinuria (trauma, crush injuries, burns)

  • Hemoglobinuria (transfusion reaction, hemolytic anemia)

  • Nephrotoxic agents such as:

  • Aminoglycoside antibiotics (gentamicin, tobramycin, amicacin)

  • Radiopaque contrast agents

  • Heavy metals (lead, mercury)

  • Solvents and chemicals (ethylene glycol, carbon tetrachloride, arsenic)

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

  • Angiotensin-converting enzyme inhibitors (ACE inhibitors)

  • Infectious processes such as:

  • Acute pyelonephritis

  • Acute glomerulonephritis


Postrenal failure



  • Urinary tract obstruction, including:

  • Calculi (stones)

  • Tumors

  • Benign prostatic hyperplasia

  • Strictures

  • Blood clots

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