Anuria

  1. Anuria: Causes, Treatments, and Complications
  2. Impaired Urinary Elimination (Urinary Incontinence & Urinary Retention)
  3. Anuria: Common Causes, Complications and Treatment Tips
  4. 01. Acute Kidney Injury
  5. 01. Acute Kidney Injury
  6. Anuria: Common Causes, Complications and Treatment Tips
  7. Anuria: Causes, Treatments, and Complications
  8. Impaired Urinary Elimination (Urinary Incontinence & Urinary Retention)
  9. Anuria: Causes, Treatments, and Complications
  10. Anuria: Common Causes, Complications and Treatment Tips


Download: Anuria
Size: 66.63 MB

Anuria: Causes, Treatments, and Complications

Causes Anuria Trusted Source PubMed Central Highly respected database from the National Institutes of Health Trusted Source PubMed Central Highly respected database from the National Institutes of Health Experts use the term “anuric AKI” to describe anuria caused by AKI. A Trusted Source PubMed Central Highly respected database from the National Institutes of Health • sepsis • postoperative AKI • cardiorenal syndrome • complete ureteral obstruction Cardiorenal syndrome The term “cardiorenal syndrome” refers to conditions that affect the heart and kidneys. Dysfunction in one of these organs can lead to dysfunction in the other. Anuria resulting from cardiorenal syndrome Trusted Source PubMed Central Highly respected database from the National Institutes of Health Ureteral obstruction Ureteral obstruction refers to a blockage of the tubes that carry urine from the kidneys to the bladder. You may experience little or no urine outflow during this condition. Many factors can contribute to ureteral obstruction. According to the • formation of • bladder, prostate, or • • • Underlying cause Signs and symptoms sepsis skin changes AKI edema, or swelling in the legs, ankles, and around the eyes fatigue confusion cardiorenal syndrome fluid buildup in the chest cavity, abdominal cavity, or extremities lung sounds such as crackles or rales atypical heart rates ureteral obstruction persistent weight loss Anuria requires immediate medical attention. Contact your doctor right away if you h...

Impaired Urinary Elimination (Urinary Incontinence & Urinary Retention)

Table of contents • • • • • • • • • • • • • • • • What is urinary incontinence? Urinary incontinence, also known as overactive Functional urinary incontinence Urge urinary incontinence Reflex urinary incontinence Stress urinary incontinence Overflow urinary incontinence Overflow urinary incontinence is the involuntary release of urine caused by an overfilled bladder, often in people who cannot fully empty their bladders. Mixed urinary incontinence Mixed urinary incontinence refers to the occurence of multiple types of incontinence – usually stress and urge incontinence. What is urinary retention? Urinary retention, or ischuria, is the inability to fully empty the bladder, and it may or may not coexist with urinary incontinence. It can be caused by factors such as immobility, medical conditions like BPH, disk surgery, or hysterectomy, and side effects of various medications including anesthetics, Signs and symptoms Here are the common signs and symptoms for patients with problems with urinary elimination: Urinary incontinence • Reports of urine leakage. Unintentional discharge or leakage of urine. • Leakage of urine during physical activities. Incontinence that occurs during actions like coughing, sneezing, or exercising. • Urgency to urinate that cannot be controlled. Strong and sudden urge to urinate that is difficult to postpone or control. • Frequent urination. Need to urinate more often than usual. • Dampness or wetness in the underwear or clothing. Presence of moistur...

Anuria: Common Causes, Complications and Treatment Tips

Anuria is the inability to urinate or discharge urine. The word itself literally translates to “no urine.” It can be a symptom of various metabolic and volume status disorders, or it can be a problem stemming from an abnormality of the kidney’s themselves, or even of the heart in certain circumstances. A related medical condition is called oliguria, which means that urine production is less than 500ml per day. What causes anuria? Advertisement There are generally three major types of causes of anuria, and they are as follows: Prerenal causes: Problems occurring outside the kidneys that affect urine production. These may include: Hypovolemia: Occurs due to fluid loss that can be a result of excessive blood loss, diarrhea, vomiting, burns, diuretic medication, pulmonary edema, and fluid loss due to operations procedures. Low systemic vascular resistance: Can occur in severe infectious states such as sepsis or shock. Severe allergic reactions to certain drugs and intake of antihypertensive drugs may also be a cause. Heart failure: Conditions such as myocardial infarction, decreased blood supply to the heart, cardiomyopathy, and arrhythmias may be a cause. Other: Sudden compression of the renal vein or inferior vena cava, Renal causes: Issues in the kidneys themselves that can be due to an abnormality in the structure of the glomerulus and renal tubules, drastically reducing urine output. This can be caused by autoimmune disorders, glomerulonephritis, nephrotoxic drugs, ACE in...

01. Acute Kidney Injury

Definition There is no standard accepted definition of AKI. Generally accepted criteria (KDIGO modification to RIFLE and AKIN criteria) involve the following: • 5.4), chem 10, UA with microscopy, urine sediment exam, FENa, FEUrea, urine osmolality (UNa, UCr, UOsm+/- UUrea), spot UProt/UCr, renal U/S (see below). • Consider screen for GN if high clinical suspicion or hematuria on UA: ANA, C3, C4, ANCA. • If exam and UA are consistent with GN, additional tests are recommended . • Check CK if concern for rhabdomyolysis (heme without RBC on UA, elevated potassium). • Note: elevated risk of ATN only when CK>15,000-20,000 (but may be seen at lower levels if concomitant sepsis, prerenal azotemia, or acidosis). • Interpreting biochemical markers and urine electrolytes ( table 2): • Calculate FENa [(UNa/PNa ÷ UCr/PCr) x 100] if patient is oliguric. • If patient has recently used diuretics, can calculate the FEUrea [(UUrea/PBUN ÷ UCr/PCr) x100]. Type Uosm UNa FENa FEUrea BUN/Cr Urine Examination Prerenal >500 20 Bland, few cells, hyaline casts Intrarenal 20 >1% >45% 3.5g/day) Postrenal 40 >4% >45% >15 Often normal but may contain RBC, WBC and crystals in stone disease Table 2: Classic Urinary Findings in AKI **Pearl: urine needs to be collected fresh (voided or from clamped Foley and NEVER from Foley bag) and examined within 30-60 minutes to have highest sensitivity for casts. • Renal US is to evaluate for: • Hydronephrosis: a sign of obstruction, but may be falsely negative if the ...

01. Acute Kidney Injury

Definition There is no standard accepted definition of AKI. Generally accepted criteria (KDIGO modification to RIFLE and AKIN criteria) involve the following: • 5.4), chem 10, UA with microscopy, urine sediment exam, FENa, FEUrea, urine osmolality (UNa, UCr, UOsm+/- UUrea), spot UProt/UCr, renal U/S (see below). • Consider screen for GN if high clinical suspicion or hematuria on UA: ANA, C3, C4, ANCA. • If exam and UA are consistent with GN, additional tests are recommended . • Check CK if concern for rhabdomyolysis (heme without RBC on UA, elevated potassium). • Note: elevated risk of ATN only when CK>15,000-20,000 (but may be seen at lower levels if concomitant sepsis, prerenal azotemia, or acidosis). • Interpreting biochemical markers and urine electrolytes ( table 2): • Calculate FENa [(UNa/PNa ÷ UCr/PCr) x 100] if patient is oliguric. • If patient has recently used diuretics, can calculate the FEUrea [(UUrea/PBUN ÷ UCr/PCr) x100]. Type Uosm UNa FENa FEUrea BUN/Cr Urine Examination Prerenal >500 20 Bland, few cells, hyaline casts Intrarenal 20 >1% >45% 3.5g/day) Postrenal 40 >4% >45% >15 Often normal but may contain RBC, WBC and crystals in stone disease Table 2: Classic Urinary Findings in AKI **Pearl: urine needs to be collected fresh (voided or from clamped Foley and NEVER from Foley bag) and examined within 30-60 minutes to have highest sensitivity for casts. • Renal US is to evaluate for: • Hydronephrosis: a sign of obstruction, but may be falsely negative if the ...

Anuria: Common Causes, Complications and Treatment Tips

Anuria is the inability to urinate or discharge urine. The word itself literally translates to “no urine.” It can be a symptom of various metabolic and volume status disorders, or it can be a problem stemming from an abnormality of the kidney’s themselves, or even of the heart in certain circumstances. A related medical condition is called oliguria, which means that urine production is less than 500ml per day. What causes anuria? Advertisement There are generally three major types of causes of anuria, and they are as follows: Prerenal causes: Problems occurring outside the kidneys that affect urine production. These may include: Hypovolemia: Occurs due to fluid loss that can be a result of excessive blood loss, diarrhea, vomiting, burns, diuretic medication, pulmonary edema, and fluid loss due to operations procedures. Low systemic vascular resistance: Can occur in severe infectious states such as sepsis or shock. Severe allergic reactions to certain drugs and intake of antihypertensive drugs may also be a cause. Heart failure: Conditions such as myocardial infarction, decreased blood supply to the heart, cardiomyopathy, and arrhythmias may be a cause. Other: Sudden compression of the renal vein or inferior vena cava, Renal causes: Issues in the kidneys themselves that can be due to an abnormality in the structure of the glomerulus and renal tubules, drastically reducing urine output. This can be caused by autoimmune disorders, glomerulonephritis, nephrotoxic drugs, ACE in...

Anuria: Causes, Treatments, and Complications

Anuria is when you have little or no urine output. It can result from factors such as acute kidney injury and sepsis. Anuria is a serious condition, but prompt diagnosis and treatment can lead to favorable outcomes. If you’re experiencing little or no urine output, contact your doctor right away. They can help you determine the underlying cause and begin the appropriate treatment. This article explains anuria, including its causes, treatments, and outlook. Causes Anuria Trusted Source PubMed Central Highly respected database from the National Institutes of Health Trusted Source PubMed Central Highly respected database from the National Institutes of Health Experts use the term “anuric AKI” to describe anuria caused by AKI. A Trusted Source PubMed Central Highly respected database from the National Institutes of Health • sepsis • postoperative AKI • cardiorenal syndrome • complete ureteral obstruction Cardiorenal syndrome The term “cardiorenal syndrome” refers to conditions that affect the heart and kidneys. Dysfunction in one of these organs can lead to dysfunction in the other. Anuria resulting from cardiorenal syndrome Trusted Source PubMed Central Highly respected database from the National Institutes of Health Ureteral obstruction Ureteral obstruction refers to a blockage of the tubes that carry urine from the kidneys to the bladder. You may experience little or no urine outflow during this condition. Many factors can contribute to ureteral obstruction. According to th...

Impaired Urinary Elimination (Urinary Incontinence & Urinary Retention)

Table of contents • • • • • • • • • • • • • • • • What is urinary incontinence? Urinary incontinence, also known as overactive Functional urinary incontinence Urge urinary incontinence Reflex urinary incontinence Stress urinary incontinence Overflow urinary incontinence Overflow urinary incontinence is the involuntary release of urine caused by an overfilled bladder, often in people who cannot fully empty their bladders. Mixed urinary incontinence Mixed urinary incontinence refers to the occurence of multiple types of incontinence – usually stress and urge incontinence. What is urinary retention? Urinary retention, or ischuria, is the inability to fully empty the bladder, and it may or may not coexist with urinary incontinence. It can be caused by factors such as immobility, medical conditions like BPH, disk surgery, or hysterectomy, and side effects of various medications including anesthetics, Signs and symptoms Here are the common signs and symptoms for patients with problems with urinary elimination: Urinary incontinence • Reports of urine leakage. Unintentional discharge or leakage of urine. • Leakage of urine during physical activities. Incontinence that occurs during actions like coughing, sneezing, or exercising. • Urgency to urinate that cannot be controlled. Strong and sudden urge to urinate that is difficult to postpone or control. • Frequent urination. Need to urinate more often than usual. • Dampness or wetness in the underwear or clothing. Presence of moistur...

Anuria: Causes, Treatments, and Complications

Causes Anuria Trusted Source PubMed Central Highly respected database from the National Institutes of Health Trusted Source PubMed Central Highly respected database from the National Institutes of Health Experts use the term “anuric AKI” to describe anuria caused by AKI. A Trusted Source PubMed Central Highly respected database from the National Institutes of Health • sepsis • postoperative AKI • cardiorenal syndrome • complete ureteral obstruction Cardiorenal syndrome The term “cardiorenal syndrome” refers to conditions that affect the heart and kidneys. Dysfunction in one of these organs can lead to dysfunction in the other. Anuria resulting from cardiorenal syndrome Trusted Source PubMed Central Highly respected database from the National Institutes of Health Ureteral obstruction Ureteral obstruction refers to a blockage of the tubes that carry urine from the kidneys to the bladder. You may experience little or no urine outflow during this condition. Many factors can contribute to ureteral obstruction. According to the • formation of • bladder, prostate, or • • • Underlying cause Signs and symptoms sepsis skin changes AKI edema, or swelling in the legs, ankles, and around the eyes fatigue confusion cardiorenal syndrome fluid buildup in the chest cavity, abdominal cavity, or extremities lung sounds such as crackles or rales atypical heart rates ureteral obstruction persistent weight loss Anuria requires immediate medical attention. Contact your doctor right away if you h...

Anuria: Common Causes, Complications and Treatment Tips

Anuria is the inability to urinate or discharge urine. The word itself literally translates to “no urine.” It can be a symptom of various metabolic and volume status disorders, or it can be a problem stemming from an abnormality of the kidney’s themselves, or even of the heart in certain circumstances. A related medical condition is called oliguria, which means that urine production is less than 500ml per day. What causes anuria? Advertisement There are generally three major types of causes of anuria, and they are as follows: Prerenal causes: Problems occurring outside the kidneys that affect urine production. These may include: Hypovolemia: Occurs due to fluid loss that can be a result of excessive blood loss, diarrhea, vomiting, burns, diuretic medication, pulmonary edema, and fluid loss due to operations procedures. Low systemic vascular resistance: Can occur in severe infectious states such as sepsis or shock. Severe allergic reactions to certain drugs and intake of antihypertensive drugs may also be a cause. Heart failure: Conditions such as myocardial infarction, decreased blood supply to the heart, cardiomyopathy, and arrhythmias may be a cause. Other: Sudden compression of the renal vein or inferior vena cava, Renal causes: Issues in the kidneys themselves that can be due to an abnormality in the structure of the glomerulus and renal tubules, drastically reducing urine output. This can be caused by autoimmune disorders, glomerulonephritis, nephrotoxic drugs, ACE in...