Yes?
No?
Acute Renal
failure
Heart failure
sepsis
Shock/trauma
Respiratory
failure
Nephrotoxic
Underlying Chronic renal disease
Decrease in
blood flow (GFR)
Assess Identify and restore blood
flow
Monitor I/O
maintain fluid
balance
lab values
Decreased renal perfusion
Toxicity and tubular
necrosis
Acute Failure
Edema, pulmonary
congestion, crackles, <
urine output, elevated
BUN, Creatinine, Serum
electrolyte changes
acidosis
Nursing Diagnosis
Excess Fluid Volume
Ineffective tissue perfusion (renal)
Decreased Cardiac Output
Onset Phase
Oliguric or Anuric Phase (5-16 days)
Diuretic Phase (7-14 days)
Recovery Phases (1-2 yrs)
