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Kidney
Trauma
By: Florie Ismael
VN Student
Fresno Institute of Technology
VN Program
Clarissa Trinidad
April 4, 2017
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Introduction Inside of each body contains two kidneys which are bean shaped, and are found on the right and are found on the right and left sides of our body. Kidneys filter all the blood in the body which ends up making urine and removing wastes. The kidneys also release and retain water. The excretory system consists of the kidneys, ureters, urethra, and urinary bladder. Each kidney processes urine out into the bladder, through the ureter tubes. The kidneys maintain acid base and the balance of ions and electrolytes in the blood so the body maintains homeostasis. Blood enters through renal
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Kidney injuries happen fast, serum creatinine levels will be elevated along with a low urine output, then followed by dialysis. There are three categories of acute kidney injury: Pre renal, intrinsic renal, and post renal. Pre renal is caused
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by low renal perfusion. Intrinsic renal is damage to the glomeruli and renal tubes. Pre renal causes depleted blood flow to the kidney and lowers the glomerular filtration rate. Pre renal symptoms are blood and fluid loss, and hemorrhaging. Blood pressure medications also can cause pre renal disease. Pre renal disease also leads to heart attack, heart disease, liver failure, severe burns, dehydration, and severe allergic reactions. Intrinsic renal disease causes blood clots in veins, arteries, blood flow in and kidneys. Cholesterol deposits block blood flow in kidneys.
Toxins such as alcohol, and cocaine also effect the kidney. Intrinsic is direct damage to the kidney.
Post renal disease is mainly from urinary obstructions such as kidney stones and tumors. Prostatic enlargement is also another form of post renal disease. Post renal kidney injuries include kidney stones, obstructed urinary catheter, benign prostatic hyperplasia, bladder stones, and cancers of the bladder, uterus and prostate. Kidney injuries happen fast and the kidneys can lose function as fast as 2-7 days. Kidney symptoms such as hypotension, kidneys becoming exposed to bad substances, and blockage in the urinary tract. Kidney inflammation
Injury to the glomerulus and the tubules presents the onset of Intra-renal failure (Matzke, 2011). Some of the frequent causes for Intra-renal failure are glomerulonephritis; pyelonephritis; and tubular injury. Post-renal failure develops from things like ureteroliths, tumors, or anatomic impediments. Opposite of the acute form, the chronic form has a slow onset that has no early stage symptoms. It is important to know that following an acute episode a chronic renal episode often follows, and at this juncture the damage is irreversible. Glomerulonephritis and pyelonephritis combined, has been reported to be the forerunner in as much as half the cases from acute to chronic renal failure. Diabetes mellitus, renal vascular disease, such as atherosclerosis, hypertension, polycystic kidney disease, drug damage, and nephrolith are all examples of other causes of CKD (Pradeep, 2014). Biopsies of kidneys that suffered with CKD reveal smaller kidneys with scarring on the tubules.
The job of a kidney is to filter the blood and get rid of waste products; it also balances levels of electrolyte in the body, it controlling blood pressure, and stimulates the production of red blood cells. Your kidneys filter wastes and excess fluids from your blood, which then exit your body
All the symptoms that were described were based on the kidney functions, so more and further
Intrarenal acute renal failure- accounts for 30% to 40% of the cases of ARF- generally results from acute tubular necrosis due to disturbances within the glomerulus or renal tubules. ATN most often occurs after surgery but is also associated with sepsis, severe trauma, including severe burns,
Chronic Kidney Disease (CKD) is a disease that is described as a loss of kidney function gradually over time. As kidney function decreases, the waste collection in the body’s blood becomes high and makes the individual feel sick. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and show as CKD progresses to advanced stages. Early detection of this disease is essential when it comes to treatment. If CKD is diagnosed early enough the disease progression can be slowed down and managed. This disease will eventually lead to failure of the kidneys
Acute renal failure is when the kidneys suddenly are unable to filter the blood of the waste products. Acute renal failure is alternatively called acute kidney failure or acute kidney injury. The causes of acute renal failure are divided into three categories based on their point of origin: prerenal, intrarenal, and post renal. The most common type of acute renal failure is prerenal, which can be described as a sudden drop in blood pressure or an interruption in blood flow to the kidneys. The common causes of prerenal AFR include hypovolemia, reduced renal perfusion, and septic shock. "Prerenal AFR is generally reversible when renal perfusion pressure is restored" (Liu, pg.98). Intrarenal, or intrinsic, acute renal failure is caused by acute tubular necrosis, renal artery obstruction, renal vein obstruction, interstitial nephritis, and glomerulonephritis. Postrenal occurs between the kidney and the urethral meatus. The major causes to postrenal AFR are tubular precipitation, urethral obstruction and bladder obstruction. Acute renal failure has four phases: onset, oliguria, diuresis and recovery. Onset begins with onset of the event and lasts for hours to days. The oliguria stage doesn't always occur in certain patients; however it lasts for 8-15 days. Oliguria deals with multiple acid-base balance diseases. The diuresis stage begins when the kidneys start to recover
Kidney failure is the result of kidney disease that has either not been treated, or failed to respond to treatment. Some kidney diseases are: Acute kidney failure (potentially reversible), Acute nephritic syndrome, Goodpasture syndrome, Atheroembolic renal disease, Glomerulonephritis, Polycystic kidney disease, and chronic kidney failure (end stage) (United States National Library, 2010). The usual treatment for kidney failure is medication and dialysis. Dialysis is used for end stage kidney failure, when the patient has lost
pain. The second stage is the chronic renal failure, which is accompanied by feelings of
The renal system in the body pertains to the kidneys. The kidneys are the eliminators of waste in the body and collects the ions and elements that that body needs. There are two kidneys, one on each side of the middle to lower back. At
Acute Kidney Injury (AKI) refers to the rapid decline of renal filtration and urine production. There are several causes for AKI but the damage is often due to an injury which causes functional and/or structural deviations in the kidney. This can lead to many different complications such an increased risk of chronic kidney disease, or it can effect other organ systems. Additionally, AKI can also potentially lead to death.
Renal Failure is a common condition that could also be described as Acute renal failure (ARF) or Chronic renal failure(CRF), both conditions occur when there is a loss of kidney function. Kidney disease or renal failure is the ninth leading cause of death in the United States (Pradeep ,2014). Specifically, acute renal failure is characterized by the kidney’s sudden inability to filter blood, excrete wastes, concentrate urine, preserve electrolytes, and sustain fluid balance which leads to many problems in the human body. Acute renal failure alone is a frequent clinical problem, especially in the intensive care unit, where according to Clin (2004), “is associated with mortality of between 50% and 80%” (p5). As for the pathophysiology
A study appointed that patients submitted to urological surgery had a higher AKI incidence accordingly with the type of procedure. Individuals enduring partial/radical nephrectomy and nephroureterectomy had 43.1% incidence of AKI, other examples are transurethral resection of bladder tumor with 15.3%, cystoprostatectomy at 3.6%, ureteroscopic lithotripsy at 3.6%, transurethral resection of the prostate at 2.2% and both radical prostatectomy and JJ-stent insertion with
Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,
Nephrotoxins, acute interstitial nephritis, glomerular damage, and vascular damage also correlate with intrarenal acute renal failure (Singh, Levy, & Pusey, 2013). Postrenal acute renal failure is usually a result of a urinary tract obstruction that affects the kidneys bilaterally, which causes the intraluminal pressure upstream from the site of the obstruction to increase with a progressive decrease in the glomerular filtration rate (McCance, Huether, Brashers, & Rote, 2014). A pattern consisting of several hours of anuria with flank pain followed by polyuria is typically found in individuals with postrenal acute renal failure (McCance, Huether, Brashers, & Rote, 2014).
High blood pressure which is called hypertension is another common disease which can cause chronic renal failure. This