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Acute Renal Failure

Objectives

Use the Case Study Workbook for Objectives 1-6.

1. Identify on a graphic the following components of the urinary system:

a. renal artery

b. renal vein

c. kidney

d. ureter

e. urinary bladder

f. urethra

2. Define the four functions of the urinary system.

3. Define the functional unit of the kidney.

4. Identify the parts of a nephron.

5. Define filtration, reabsorption, and secretion as each term pertains to the nephron.

6. Differentiate between substances that will pass through the glomerulus and those that will not.

7. Define the following terms: hypervolemia, metabolic acidosis, edema, oliguria

8. Differentiate between the three types of acute renal failure and define possible causes of each.

9. Define acute tubular necrosis. List possible causes of this condition.

10. Discuss the tests listed below in terms of information each provides for a physician in making a diagnosis of acute renal failure.

a. urinalysis

b. creatinine

c. blood urea nitrogen

d. glomerular filtration rate

e. electrolyte values

11. Identify the key symptoms of a patient in renal failure and provide a physiological reason for the symptoms.

12. Discuss causes and potential effects in the following conditions resulting from acute tubular necrosis:

a. Elevated serum K+ levels

b. Elevated serum Na+ levels

c. Elevated H+ ion concentrations

d. Elevated waste products such as urea and creatinine

13. Outline the roles of the following health care professionals in the diagnosis, management and treatment of a patient with acute renal failure.

a. nephrologist

b. specialized nursing care

c. laboratory personnel

d. dialysis technicians and technologists

e. health information technicians and technologists

14. Compare, in general terms, the two main types of kidney dialysis to include advantages and disadvantages of the two methods.

15. Summarize possible approaches to treating a patient with early renal failure and a patient with advanced renal failure.

16. Summarize the prognosis of a patient in renal failure (see case summary).


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