Is Acute Kidney Failure?
Acute kidney failure happens when your kidneys suddenly lose the ability
to eliminate excess salts, fluids, and waste materials from the blood. This
elimination is the core of your kidneys’ main function. Body fluids can rise to
dangerous levels when kidneys lose their filtering ability. The condition will
also cause electrolytes and waste material to accumulate in your body, which
can also be life-threatening.
Acute kidney failure is also called acute kidney injury or acute
renal failure. It’s common in people who are already in the hospital. It may
develop rapidly over a few hours. It can also develop over a few days to weeks.
People who are critically ill and need intensive care have the highest risk of
developing acute kidney failure.
Acute kidney failure can be life-threatening and requires
intensive treatment. However, it may be reversible. If you’re in good health
otherwise, recovery is possible.
Are the Causes of Acute Kidney Failure?
Acute kidney failure can occur for many reasons. Among the most
common reasons are:
- acute tubular necrosis (ATN)
- severe or sudden dehydration
- toxic kidney injury from poisons or certain
- autoimmune kidney diseases, such as acute
nephritic syndrome and interstitial nephritis
- urinary tract obstruction
Reduced blood flow can damage your kidneys. The following
conditions can lead to decreased blood flow to your kidneys:
- low blood pressure
- septic shock
- serious illness
Certain disorders can cause clotting within your kidney’s blood
vessels, and this can lead to acute kidney failure. These conditions include:
- hemolytic uremic syndrome
- idiopathic thrombocytopenic thrombotic purpura
- malignant hypertension
- transfusion reaction
Some infections, such as septicemia and acute pyelonephritis, can
directly injure your kidneys.
Pregnancy can also cause complications that harm the kidneys,
including placenta previa and placenta abruption.
Are the Risk Factors for Acute Kidney Failure?
The chances of acquiring acute kidney failure are greater if you’re
an older person or if you have any of the following long-term health problems:
- kidney disease
- liver disease
- diabetes, especially if it’s not well controlled
- high blood pressure
- heart failure
- morbid obesity
If you’re ill or being treated in a hospital’s intensive care
unit, you’re at an extremely high risk for acute kidney failure. Being the
recipient of heart surgery, abdominal surgery, or a bone marrow transplant can
also increase your risk.
Are the Symptoms of Acute Kidney Failure?
The symptoms of acute kidney failure include:
- bloody stools
- breath odor
- slow, sluggish movements
- generalized swelling or fluid retention
- pain between ribs and hips
- hand tremor
- bruising easily
- changes in mental status or mood, especially if
- decreased appetite
- decreased sensation, especially in your hands or
- prolonged bleeding
- high blood pressure
- a metallic taste in your mouth
Is Acute Kidney Failure Diagnosed?
If you have acute kidney failure, you may have generalized
swelling. The swelling is due to fluid retention.
Using a stethoscope, your doctor may hear crackling in the lungs.
These sounds can signal fluid retention.
Results of laboratory tests may also show abnormal values, which
are new and different from baseline levels. Some of these tests include:
- blood urea nitrogen (BUN)
- serum potassium
- serum sodium
- estimated glomerular filtration rate (eGFR)
- creatinine clearance
- serum creatinine
An ultrasound is the preferred method for diagnosing acute kidney
failure. However, abdominal X-ray, abdominal CT scan, and abdominal MRI can help
your doctor determine if there’s a blockage in your urinary tract.
Certain blood tests may also reveal underlying causes of acute
Is the Treatment for Acute Kidney Failure?
Your treatment will depend on the cause of your acute kidney
failure. The goal is to restore normal kidney function. Preventing fluids and
wastes from building up in your body while your kidneys recover is important. In
the majority of cases, a kidney specialist called a “nephrologist” makes an
Your doctor will restrict your diet and the amount of liquids you
eat and drink. This will reduce the buildup of toxins that the kidneys would normally
eliminate. A diet high in carbohydrates and low in protein, salt, and potassium
is usually recommended.
Your doctor may prescribe antibiotics to treat or prevent any
infections that occur at the same time. Diuretics may help your kidneys
eliminate fluid. Calcium and insulin can help avoid dangerous increases in your
blood potassium levels.
You may need dialysis, but it’s not always necessary. Dialysis
involves diverting blood out of your body into a machine that filters out
waste. The clean blood then returns to your body. If your potassium levels are
dangerously high, dialysis can save your life. Dialysis is necessary if there
are changes in your mental status or if you stop urinating. You may also need
dialysis if you develop pericarditis or inflammation of the heart. Dialysis can
help eliminate nitrogen waste products from your body.
Are the Complications of Acute Kidney Failure?
Some of the complications of acute kidney failure include:
- chronic kidney failure
- heart damage
- nervous system damage
- end-stage renal failure
- high blood pressure
Can I Prevent Acute Kidney Failure?
Preventing and treating illnesses that can lead to acute kidney
failure is the best method for avoiding the disease. According to the Mayo
Clinic, having a healthy lifestyle that includes regular physical activity
and a sensible diet can help to prevent kidney failure. Work with your doctor
to manage existing medical conditions that could lead to acute kidney failure.
Is the Long-Term Outlook?
Acute kidney failure can be a life-threatening illness. Chronic
renal failure or end-stage renal disease can develop. There’s a greater risk of
death if kidney failure is caused by severe infection, trauma, or surgery.
The following can also increase the risk of death:
- lung disease
- recent stroke
- advanced age
- blood loss
- progressive kidney failure
With proper treatment and diligence, your chances of recovery are
good. Seek immediate and regular medical care for acute kidney failure, and ask
your doctor questions about what you can do to heal faster.