Q:

Which of the following statement(s) is/are true concerning the outcome in patients with acute renal failure?

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Which of the following statement(s) is/are true concerning the outcome in patients with acute renal failure?


  1. Mortality for ischemic acute tubular necrosis without other organ failure is approximately 6%
  2. Multiple organ failure complicated with acute renal failure is associated with mortality ranging from 50% to 90%
  3. Recovery of renal function after six weeks is unlikely
  4. There is no difference in survival between oliguric and nonoliguric renal failure

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a. Mortality for ischemic acute tubular necrosis without other organ failure is approximately 6%

b. Multiple organ failure complicated with acute renal failure is associated with mortality ranging from 50% to 90%

c. Recovery of renal function after six weeks is unlikely

Survival of patients with acute renal failure is a function of the successful treatment of the primary disease from which the renal failure was derived. The mortality for ischemic acute tubular necrosis without organ failure has been reported at approximately 6%. By contrast, mortality of multiorgan failure complicated by acute renal failure ranges from 50% to 90%. In patients who survive the acute phase of illness, recovery of renal function after acute renal failure is dependent on the type and extent of injuries to the renal parenchyma. If renal function is not returned after six weeks, recovery is unlikely. Nonoliguric renal failure is usually limited in its extent and is almost always reversible.

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