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Published on: July 17, 2016
Acute and chronic renal failure
Jonathan Costa1, Robert S Crausman, Marc S Weinberg
1Department of Medicine, Memorial Hospital of Rhode Island and Brown Medical School, Pawtucket, RI 02860, USA.
Renal failure, a decline in kidney function, is common in older adults and those with diabetes or hypertension. Podiatric physicians must understand its causes, evaluation, and management, including medication dosing and contrast nephropathy prevention.
Area of Science:
- Nephrology
- Podiatric Medicine
Background:
- Renal failure is a growing concern, particularly in aging populations and individuals with diabetes or hypertension.
- Podiatric physicians frequently encounter patients with risk factors for renal failure.
Purpose of the Study:
- To provide podiatric physicians with essential knowledge regarding renal failure.
- To cover epidemiology, causes, complications, and evaluation of renal failure.
- To highlight treatment considerations, including medication adjustments and contrast-induced nephropathy prevention.
Main Methods:
- Literature review and synthesis of current knowledge on renal failure.
- Focus on aspects relevant to podiatric practice.
Main Results:
- Renal failure is characterized by impaired kidney function and nitrogenous waste retention.
- Key risk factors include advanced age, diabetes, hypertension, and postoperative status.
- Comprehensive evaluation and management strategies are crucial.
Conclusions:
- Podiatric physicians need to be well-versed in renal failure management.
- Appropriate medication dosing and preventive measures are vital for patient safety.
- Early recognition and intervention can mitigate complications.
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Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
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