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ARF-
PenurunanPerfusi
sulfonamides
aspirin, ibuprofen
Pre Renal Renal Post Renal
Hipovolemi / decreased
blood pressure
Decrease Intra renal Cast Formation
Blood flow
Possible Glomerulus
Injury
Obstruction
Decrease Permeability
Increase Intraluminal
Pressure
Dark urine output /Hematuria,Headache,Edema,Fatigue,Crackles, Urinalisis, Urine Culture, CBC, serum Chemistry tests (BUN,
gallop heart rhythm,HT, Lethargy, Nausea, Vomiting, Oliguria serum Creatinin, sodium,potassium and calcium level.
Nursing Diagnosis
NsDx : Excess fluid volume related to decreased Glomerular filtration Additional tests:
rate and sodium retention
Toxicology screen, serum complement
Goal : Achieving fluid and electrolyte balance level, antinuclear antibodies, Blood & stool
culture, radiograph
Ns Intervension : Monitor urinary output and urine specific gravity,
measure and record intake and output, Monitor serum and urine New biomarkers in aucte kidney injury:
electrolyte concentrations, Monitor for signs and symptoms of NGAL (Neutrophil gelatinase)/plasma
hypovolemia or hypervolemia because regulating capacity of kidneys Cystatin C / Plasma
is inadequate. NGAL / Urine
IL 18 ( interleukin-18) /Urine
KIM-1 ( Kidney injury Molecule-1)/
Ns Dx : Imbalanced nutrition less than body requirements related to urine
anorexia, nausea and vomiting