Kidney Failure
HCA/240
Kidney Failure
Scenario A: Acute Renal Failure
1. Ms. Jones has been suffering from a sudden drop of blood flow into her kidneys, a disease
called Oliguria, which started when she underwent an open-heart surgery wherein a surgical
shock occurred. There had also been a relevantly decreasing urine amount, caused by said
disease.
2. To know whether or not a person is suffering from oliiguria, some symptoms are as follows:
gastrointestinal distress, headache, and breath smelling like ammonia due to the increased
nitrogen that the blood contains. Anuria - a complete loss of urine is also possible, as well as
Hyperkalemia, that which is caused by increased amount of blood production that causes
weakness of the muscles, nausea, heart arrhythmia, or even paralysis (Acute Renal Failure,
2011).
3. As mentioned in item number 1, such a disease was a result of the recent open-heart surgery
she went through that caused a surgical shock.
4. Although ARF occurs all of a sudden, it is still better than experiencing Chronic Renal
Failure. It is recommended to have a restricted and conscious dietary fluid intake, undergo
dialysis, or use electrolytes so as to recover the normal blood volume (Acute Renal Failure,
2011).
Scenario B: Chronic Renal Failure
5. The kidneys of Mr. Hodge do not function properly causing relevantly dangerous effects to his
body. This started upon build-up of metabolic wastes on his blood (Chronic Kidney Failure,
2010).
6. Such is due to a disease called Chronic Renal Failure (CRF) that has already worsened
through time. This causes the heavy accretion of the wastes of the body, including uric acids, and
cretinine build-up. The accumulated toxins cause its conversion into ammonia and in turn,
visible symptoms pertaining to CRF, among others are experienced: nausea, vomiting, fatigue,
sleep problems, weakness, less to no urine, cramps, muscle-twitching, and swelling of the ankles
and feet (Chronic Kidney Failure, 2010).
7. Because of the everyday medications he has been taking for his congestive heart failure for
over 5 years, it resulted to the rupture of his kidney then leading to CRF which he might not
know about earlier and in turn worsened (Chronic Kidney Failure, 2010).
8. There are ways to treat Chronic Renal Failure but is very limited and nothing pertains to its
permanent cure; only for managing it and slowing the same down, such as hemodyalisi that takes
out toxins in the blood (Chronic Kidney Failure, 2010). Another is to have a kidney transplant.
The latter is proven to be most effective with the help of anti-rejection drugs (Chronic Kidney
Failure, 2010).
References
Acute Renal Failure. (2011). Retrieved from http://www.webmd.com/a-to-z-guides/acute-renalfailure-topic-overview
Chronic kidney failure. (2010). Retrieved from http://www.mayoclinic.com/health/kidneyfailure/DS00682/DSECTION=symptoms