Acute Renal Failure
Impression: ARF / Uremia
Condition: Fair – Poor
Diet: Low salt / Diabetic (DM)
Activity: As tolerated
Vital Sign: As routine
• Consider any dehydration manifestation
Please:
1. CBC, BUN, Cr, Na, K, UA
2. UA ( pyuria, hematuria, cast … )
• Correct hyperkalemia
3. VBG (Metabolic acidosis)
4. Hydrate with Normal saline 500-1000 ml over 1-2 hrs.
5. Internal Foley
6. Check Intake / Output
7. KUB Sonography ( R/O Obstructive causes )
• Urology consult (if needed/hydronephrosis)
• D/C NSAID, Aminoglycoside, Contrast and any nephrotoxic
• Adjust other medication (as anephric dose)
