Obstruction of the renal arteries.
Mechanical obstruction of the urinary tract (stones, strictures, tumor).
c. Clinical manifestations.
(1) Clinical manifestations are the same as for chronic renal failure, except
that the onset of symptoms is not insidious as in chronic renal failure. An abrupt
cessation of renal function will bring about rapid changes as the body struggles to
maintain its homeostatic environment.
(2) Blood analysis will reveal a rise in serum levels of elements normally
excreted by the kidneys.
(b) Uric acid.
2-36. MEDICAL TREATMENT
a. Effective treatment depends upon identification and treatment of the
underlying condition responsible for the failure of the kidneys.
b. Along with treatment of the primary condition, normal homeostasis must be
restored and maintained in order to restore kidney function and allow for tissue repair.
2-37. NURSING IMPLICATIONS
a. Nursing care considerations are the same as for a patient with chronic renal
failure, remembering at all times that changes in status may occur very rapidly. For this
reason, intense and vigilant nursing observation
b. Fluid replacement therapy will be based on the patient's weight, urinary
output, and insensible losses. I & O must be accurate in order for the physician to
prescribe the correct amount of IV fluids and P.O. intake.
c. The patient must be continually assessed for fluid retention.
Auscultate lungs for the presence of fluid.
Observe for dependent edema.