Acute Renal Failure
Acute Renal Failure
Acute Renal Failure
Definition
A syndrome characterized by-
– Rapid decline in GFR(hours to days)
– Retention of nitrogenous waste products
– Abnormilities of extracellular fluid volume,
electrolytes and acid base.
ARF complicates approx. 5% of
hospital admissions and upto 30% of
ICU admissions.
Oliguria is present in only 50% of ARF.
Refractory acidosis
Uremic pericarditis
Uremic encephalopathy.
Modalities of dialysis
Hemodialysis-
Peritoneal dialysis
CRRT
Outcome and prognosis
The mortality rate is approx- 50%.
Mortality vary according to cause of ARF-
15% in obstetric causes, 30% in toxin
related ARF and 60% after surgery or
trauma (usually due to septicemia).
Most patients of ARF recover , 5% require
regular RRT and another 5% develop
progressive deterioration of renal function.
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