Explain the etiology of the acute renal failure

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Reference no: EM133608761

Case Study # 3 Acute Renal Failure - Due 10/15/19 Case History: Mr. G. is a 52-year-old male who experienced a hypotensive episode, secondary to peptic ulcer hemorrhage and hypovolemic shock. Subsequently the bleeding stopped but his mean blood pressure was less than 50 mm Hg for 3 hours. Mr. G. is currently stable in the surgical intensive care unit. Current Status: Mr. G.'s urine output has been less than 100 mls per day for the last 3 days since the hypotensive episode. His creatinine is 3.5 and BUN is 39. Mr. G. has been diagnosed with acute renal failure caused by acute tubular necrosis. His blood pressure is 176/92 with a heart rate of 75. An S3 heart sound is present. Auscultation of his lungs indicate crackles halfway up the back. Mr.G.'s serum sodium is 130 mEq/dL, and serum potassium is 6.5 mEq/dL. Arterial blood gases results are as follows: pH of 7.20, PaCO 2 is 20 mm Hg, and HCO3 is 10 mEq/L. Case study derived from: Charles, E. (1990). Acute renal failure. In S.L. Sims, D.L. Boland (Eds.) Pathophysiology case studies. C.V. Mosby: St. Louis (pp. 85-87).

Questions: 1. Explain the etiology of the acute renal failure?

 

 

Reference no: EM133608761

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