Acute renal failure is the sudden loss of kidney function. Kidneys clean waste from the blood and manage the balance of fluid in the body.
Anatomy of the Kidney
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There are many possible causes of sudden kidney failure because there are three anatomical sites for problems to occur in the renal system: before the blood enters the kidneys, within the kidneys, and after the urine is processed by the kidneys and enters the ureters.
Sudden kidney failure can result from problems with blood flow to the kidney, which can be caused by acute renal artery obstruction, blood loss, or dehydration. It can also result from conditions such as infections that interfere with the work of the kidney.
The most common cause of sudden kidney failure occurs inside the kidney. Acute tubular necrosis is the death of the cells inside the kidney that act as the blood's filter. These cells die when they are deprived of oxygen. This can be due to surgical complications, inflammatory processes, blood clots, or the side effects of certain medicines. Physical problems, such as swollen prostate glands or kidney stones can also cause sudden kidney failure.
Factors that may increase your chance of developing acute renal failure include:
Many people do not have any symptoms, but symptoms can include the following:
You will be referred to a kidney specialist (nephrologist) for diagnosis and treatment. Your doctors will ask about your symptoms and medical history. A physical exam will be done. Your doctor will ask about any medications you are taking.
Your bodily fluids will be tested. This can be done with:
Images may be taken of your bodily structures. This can be done with:
The treatment for acute renal failure will depend on the exact cause and severity. Your doctor may recommend any of the following:
To help reduce your chance of acute kidney failure, take the following steps:
National Kidney Disease Education Program
National Kidney Foundation
The College of Family Physicians of Canada
The Kidney Foundation of Canada
Acute renal failure. DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 4, 2013. Accessed July 12, 2013.
Hilton R. Acute renal failure. BMJ. 2006;333:786-790.
Needham E. Management of acute renal failure. Am Fam Physician. 2005;72:1739-1746. Available at: http://www.aafp.org/afp/20051101/1739.html. Accessed July 13, 2013.
Rondon-Berrios H, Palevsky PM. Treatment of acute kidney injury: an update on the management of renal replacement therapy. Curr Opin Nephrol Hypertens. 2007;16:64-70.
Venkataraman R, Kellum JA. Prevention of acute renal failure. Chest. 2007;131:300-308.
Last reviewed July 2013 by Adrienne Carmack, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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