HCR 240 Case Study 30 - Acute Renal Failure
Case Study 30 - Acute Renal Failure
1. Based on the information provided above, which two types of acute renal failure
are most likely?
Based on the information provided above, the two types of acute renal failure that are
most likely include prerenal acute renal failure and intrarenal acute renal failure.
2. List four major risk factors that are likely to be contributing to the patient’s
kidney failure.
Four major risk factors that are likely to be contributing to the patient’s kidney failure
include history of heart failure, vomiting, diarrhea, and hypertension.
3. What is the significance of (a) poor skin turgor and (b) an absence of itching?
The significance of poor skin turgor is that it’s consistent with dehydration and an
absence of itching indicates that toxins have not yet build up in the patient’s blood and that his
renal failure has not reached a server level.
4. What is the importance of the absence of JVD and HJR?
The importance of the absence of JVD and HJR is that there is no indication that this
patient’s renal failure has progressed to a significant degree.
5. What is the significance of the “faint S3” cardiac sound?
The significance of the “faint S3” cardiac sound is that it has some ventricular
dysfunction which may be a sign of heart failure that can lead to prerenal acute failure.
6. What is the significance of the absence of pulmonary crackles?
The significance of the absence of pulmonary crackles is that there is no fluid in the lungs
(edema) so no indication of left heart failure.
Case Study 30 - Acute Renal Failure
1. Based on the information provided above, which two types of acute renal failure
are most likely?
Based on the information provided above, the two types of acute renal failure that are
most likely include prerenal acute renal failure and intrarenal acute renal failure.
2. List four major risk factors that are likely to be contributing to the patient’s
kidney failure.
Four major risk factors that are likely to be contributing to the patient’s kidney failure
include history of heart failure, vomiting, diarrhea, and hypertension.
3. What is the significance of (a) poor skin turgor and (b) an absence of itching?
The significance of poor skin turgor is that it’s consistent with dehydration and an
absence of itching indicates that toxins have not yet build up in the patient’s blood and that his
renal failure has not reached a server level.
4. What is the importance of the absence of JVD and HJR?
The importance of the absence of JVD and HJR is that there is no indication that this
patient’s renal failure has progressed to a significant degree.
5. What is the significance of the “faint S3” cardiac sound?
The significance of the “faint S3” cardiac sound is that it has some ventricular
dysfunction which may be a sign of heart failure that can lead to prerenal acute failure.
6. What is the significance of the absence of pulmonary crackles?
The significance of the absence of pulmonary crackles is that there is no fluid in the lungs
(edema) so no indication of left heart failure.
