In: Nursing
Question 5
Based on Mr. Gary history and current diagnostic findings,
which
of the following type of renal failure is he most likely
experiencing?
a) Pre-renal
b) Post-renal
c) Intra-renal
d) Decrease renal reserve
Pre Renal
Prerenal acute kidney injury (AKI) , (which used to be called acute renal failure), occurs when a sudden reduction in blood flow to the kidney (renal hypoperfusion) causes a loss of kidney function. In prerenal acute kidney injury, there is nothing wrong with the kidney itself.
Post renal
Postrenal acute kidney injury , which used to be called acute renal failure, occurs when an obstruction in the urinary tract below the kidneys causes waste to build up in the kidneys . It is not as common as intrinsic acute kidney injury (AKI) or acute tubular necrosis (ATN).
Intra renal
Intrinsic or intrarenal acute kidney injury (AKI) , which used to be called acute renal failure, occurs when direct damage to the kidneys causes a sudden loss in kidney function. The treatment of intrinsic acute kidney injury includes identifying and correcting the cause of the kidney injury.
Decrease renal reserve
Renal reserve (RR) is the kidney's ability to increase its basal glomerular filtration rate (GFR) by at least 20% after a protein overload and a renal response lower than that is considered a decreased one. A reliable GFR assessment is crucial for evaluating the RR
Answer is (d) decrease renal reserve due to acute renal failure occured due to septic shock .
So fluids are given to treat.