Some bring their sample in a jar Some bring in a pot, Some bring a sample hardly ample While others bring a lot.
Definition
A syndrome characterized by an abrupt decrease in GFR, a rapid deterioration in renal function and the accumulation in blood of nitrogenous waste products.
Prognosis
If identified and managed properly, the outcome of acute renal failure is excellent. The rate of renal recovery is 90-95%
Treatment
Suspect C.R.F if
Edema of Face Hypertension Hiccups Weakness and fatigue
Treatment:
Low protein Diet = 0.3 to 0.4 gm/ Kg body weight. Good salt and water intake, except if there is edema beyond the face. Cap. Autrin1 OD ( Iron folic acid). Cap. Becadexamin 1 OC (Multivitamin) Tab. Sandocal 500mg. 1 OD. Tab. Sodamint, 2-4 tds if acidosis. If diabetic, control on insulin. Avoid Lasix, except if oliguria or C.C.F. The edema is to be controlled with low protein diet and not with Lasix. Avoid Nephrotoxic drugs. Tetracyclines, Gentamycin, Streptomycin, Steroids, NSAID’s Analgin. Check urine regularly, Treat urinary infections vigourously (As infection further renal drugs). Monito B1 urea S. Creatinine, S. Electrolytes every 3 months and modify treatment accordingly. In late cases, prepare the patient and relatives for renal transplant.
CRF is a salt losing nephropathy. So do not restrict salt. Restrict potassium eg. Mosumbi Juice, Coconut water, canned fruits, chocolates, cocoa.
