Order Acute Renal Failure Discussion

Order Acute Renal Failure Discussion
Order 58948309
Order Acute Renal Failure Discussion
The commonly quoted precipitating cause predisposing
a patient to acute nephritis is:
a
b
6 haemolytic streptococcal infection of the nephron
recurrent haemolytic streptococcal pharyngolaryngeal
infections
sensitivity to the antibody produced by 6 haemolytic
streptococcal infection
excess antibody produced as the result of streptococcal
infection
During the critical stage of acute nephritis which may
last for several weeks the clinical manifestations present
include:
a
b
c
d
oedema, proteinuria, anuria and weight loss
hypertension, haematuria, weight loss and albuminuria
oliguria, hypertension, haematuria and weight gain
anuria, oedema, proteinuria, and hypotension
Until a diuresis occurs the therapeutic dietary plan most
likely to be recommended is fluid restriction plus:
aonw.
high protein, high carbohydrate and low sodium
sodium free, low potassium and protein free
high protein, high carbohydrate and salt free
high carbohydrate, low protein, and 60 mmol sodium
intake
Relevant and essential frequent nursing observations
would include:
a
b
daily weight, pressure ulcer risk, oral toilet, and blood
pressure ;
daily urinalysis, blood pressure, fluid balance and daily
weight
abdominal girth, skin integrity, peripheral oedema, and
fluid balance
blood pressure, oral toilet, pressure ulcer risk and daily
urinalysis
Genitourinary Case Histories
2.5
2.6
2.7
2.8
2.9
The primary aim of bedrest during the oliguric phase of
acute nephritis would be explained to Jim by saying that
it helps to:
a restore the normal fluid and electrolyte balance
b_ reduce the risk of infection to other organs
¢ prevent any further complications
d control his hypertension until a diuresis occurs
Frusemide (Lasix) 40 mg was prescribed and administered to Jim to reduce a worsening of his peripheral
oedema of ankles and sacrum. Lasix would act by:
increasing the blood flow to the renal cortex
reducing the hypertension following a diuresis
increasing intramedullary renal blood flow
f ef aoreducing the risk of pulmonary oedema
Which initial investigation would have been done to
confirm the diagnosis of acute nephritis:
haematology tests showing raised levels of sodium and urea
urinalysis showing proteinuria, haematuria and casts
blood pressure readings and the pitting test
ao0on¢e cortical renal biopsy
Jim had a urinary output of 150 ml yesterday, he is
allowed hourly drinks between 06.00 and 22.00 hours.
The amount of fluid that he is permitted per hour, and
the reason why fluids are so restricted is:
a 10 ml every hour to prevent electrolyte imbalance
b 10 ml every hour to minimise the effects of a raised urea
level
ce 40 ml every hour to minimise pulmonary oedema
d 40 ml every hour to prevent further renal tubular damage
Following the diuretic phase Jim would immediately:
have his oral fluid intake increased by 50%
be allowed out of bed for a short period
undergo a complete haematology screening
f aoe show a rapid drop in his blood pressure
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