Question

J.R. is a 73-yr old man, who was admitted to the hospital with clinical manifestations of probable renal failure. He has had hypertension for 14 years, and an acute myocardial infarction 10 yrs prior. He has a history of atherosclerosis. 1. What questions do you need to ask J.R. to assess for renal failure? 2. What are the risk factors for renal failure? What does J.R. have that is contributing to this condition? 3. What is the difference between chronic and acute renal failure? What might you suspect J.R. has? Why?

Answer 1

1. ANS;

-what is your accurate mesurement of intake and output of fluid?

- Do you have any generalized edema, weight gain, changes in mental status and restlessness.?

-How is your activity level?

-Do you have any family history of renal failure?

-Do you smoke ? or any histoy of smoking.

2 .ANS

-Diabetes

-High blood pressure

-heart and blood vessel (cardiovascular) disease

-Smoking

-obesity

-family history of kidney disease.

-abnormal kidney structure

-older age

*J. R. has had heart and blood vessel disease such as hypertention ,history of accute myocardial infarction and atherosclerosis , and also he is a older age.These are the contributing to J. R.s this condition.

3. Acute kidney injury (previously called acute kidney failure) is the sudden loss of kidney function , usually as a result of illness,drugs or injury. Chronic kidney disease ( CKD) will progress to chronic kidney failur with time.CKD is not reversible and chronic kidney failure is not reversible.Chronic kidney disease (CKD) is usuallycaused by a long term diseases such as diabetes and hypertension.

*J. R. has chronic kidney failure because he has hypertension.