Acute Renal Failure

(Kidney Failure)


Acute renal failure is the sudden loss of kidney function. Kidneys clean waste from the blood and manage the balance of fluid in the body.
Anatomy of the Kidney
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There are many possible causes of sudden kidney failure because there are three anatomical sites for problems to occur in the renal system: before the blood enters the kidneys, within the kidneys, and after the urine is processed by the kidneys and enters the ureters.
Sudden kidney failure can result from problems with blood flow to the kidney, which can be caused by acute renal artery obstruction, blood loss, or dehydration. It can also result from conditions such as infections that interfere with the work of the kidney.
The most common cause of sudden kidney failure occurs inside the kidney. Acute tubular necrosis is the death of the cells inside the kidney that act as the blood's filter. These cells die when they are deprived of oxygen. This can be due to surgical complications, inflammatory processes, blood clots, or the side effects of certain medications. Physical problems, such as swollen prostate glands or kidney stones can also cause sudden kidney failure.

Risk Factors

Factors that may increase your chance of acute renal failure include:


Most people do not have symptoms. In those that have them acute renal failure may cause:


You will be referred to a kidney specialist (nephrologist) for diagnosis and treatment. Your doctor will ask about your symptoms and medical history, including any medications you are taking. A physical exam will be done.
Tests may include:
Imaging tests evaluate the kidney and surrounding structures. These may include:


Treatment for acute renal failure will depend on the exact cause and severity. Your doctor may advise:


To help reduce your chance of acute kidney failure:


National Institute of Diabetes and Digestive and Kidney Diseases

National Kidney Foundation


Health Canada

Kidney Foundation of Canada


Acute renal failure. DynaMed website. Available at: Updated July 4, 2013. Accessed July 12, 2013.

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Needham E. Management of acute renal failure. Am Fam Physician. 2005;72(9):1739-1746. Accessed July 13, 2013.

Rondon-Berrios H, Palevsky PM. Treatment of acute kidney injury: An update on the management of renal replacement therapy. Curr Opin Nephrol Hypertens. 2007;16(2):64-70.

Venkataraman R, Kellum JA. Prevention of acute renal failure. Chest. 2007;131(1):300-308.

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