Discussion: Differentiate acute renal insufficiency versus acute kidney injury (AKI).
Discussion: Differentiate acute renal insufficiency versus acute kidney injury (AKI).
Acute Kidney
Question 1
Acute renal insufficiency refers to the sudden decline in kidney functioning. It implies some degree of renal failure. Acute kidney injury refers to sudden loss of renal function. There is a decline in the total glomerular filtration rate. The diagnosis of acute renal insufficiency diagnosis is achieved through methods such as kidney biopsy, ultrasound, and renal function tests. The diagnosis of acute kidney injury is through tissue biopsy, ultrasound, blood tests, and urinalysis (Scholz et al., 2021).
The treatment for both entails identifying and treating the cause. Their etiologies include severe blood loss, kidney infections, diabetes, ag, hypertension, and liver failure among others. The types of acute kidney injury include prerenal, renal, and post-renal. Prerenal develops from reduced renal blood supply because of causes such as severe hemorrhage. Intrarenal develops from conditions that cause direct damage to the kidneys such a drug abuse. Postrenal develops from the obstruction of urinary blood flow such as kidney stones (Scholz et al., 2021). The diagnosis of these stages is done through investigations such as ultrasound, urinalysis, and blood tests.
Question 2
Chronic kidney disease is the gradual loss of renal function. Chronic kidney disease occurs in several stages. In stage I, the glomerular filtration rate is 90 and or above. In stage 2, there is mild loss with eGFR being 60-89. In stage 3, the GFR ii 30-59 while in stage 4 the eGFR 15-29. Lastly, in stage 5 the eGFR is less than 15. The initial treatment of CKD aims at symptom management and slowing disease progression while dialysis and kidney transplant are used in advanced disease stages. CKD prevention strategies include weight management, quitting smoking and taking alcohol, monitoring blood pressure and glucose, and exercising regularly (Kovesdy, 2022).
The indications for dialysis include acidosis, hyperkalemia with changes in the ECG, ingestion of ethylene glycol or lithium, overload, and uremia. Dialysis exists in different forms. Intermittent hemodialysis is one of them that removes volume and solutes in a short period. Peritoneal dialysis uses the abdominal wall as the medium for solute and volume removal. Continuous renal replacement therapy is a slow method that includes peritoneal dialysis and intermittent dialysis (Saunders & Sanghavi, 2023).
References
Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: An update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
Saunders, H., & Sanghavi, D. (2023). Continuous Renal Replacement Therapy. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK556028/
Scholz, H., Boivin, F. J., Schmidt-Ott, K. M., Bachmann, S., Eckardt, K.-U., Scholl, U. I., & Persson, P. B. (2021). Kidney physiology and susceptibility to acute kidney injury: Implications for renoprotection. Nature Reviews Nephrology, 17(5), Article 5. https://doi.org/10.1038/s41581-021-00394-7
Answer both of the following questions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Answer both of the following questions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Struggling to meet your deadline ?
Get assistance on
Discussion: Differentiate acute renal insufficiency versus acute kidney injury (AKI).
done on time by medical experts. Don’t wait – ORDER NOW!
Differentiate acute renal insufficiency versus acute kidney injury (AKI).
Explain the diagnosis, etiology, and treatment for both.
Describe the types of AKI including prerenal, intrarenal, and postrenal etiologies. Include diagnostic criteria for each etiology.
Define chronic kidney disease, including stages, diagnosis, treatment, and prevention. Explain the indications for dialysis as well as the differences in the forms of dialysis (intermittent hemodialysis, CRRT, peritoneal dialysis).
versus acute kidney injury (AKI). Explain the diagnosis, etiology, and treatment for both. Describe the types of AKI including prerenal, intrarenal, and postrenal etiologies. Include diagnostic criteria for each etiology.
Define chronic kidney disease, including stages, diagnosis, treatment, and prevention. Explain the indications for dialysis as well as the differences in the forms of dialysis (intermittent hemodialysis, CRRT, peritoneal dialysis).
Struggling to meet your deadline ?
Get assistance on
Discussion: Differentiate acute renal insufficiency versus acute kidney injury (AKI).
done on time by medical experts. Don’t wait – ORDER NOW!