Hepatorenal, Cirrhosis, Kidney Failure, Portal Hypertension, Spontaneous Bacterial Peritonitis
Medicine and Health Sciences | Nursing
Type 1 hepatorenal syndrome is kidney failure that occurs in advanced cirrhosis (Fagundes & Ginès, 2012). It is characterized by a, “significant reduction in creatinine clearance within 1-2 weeks of presentation” (Bacon, 2015). Patients that develop this condition have a median survival rate of one month (Dameron, 2011). Vasodilation leads to decreased perfusion to the kidneys and thus kidney injury (Boyer et al., 2011). Liver transplantation is the best treatment for hepatorenal syndrome (Fagundes & Ginès, 2012). Common causes of cirrhosis are hepatitis C infection, alcohol consumption, and fatty liver disease (Warner, Cuthbert, Bhore, & Rockey, 2011). Regardless of the cause of cirrhosis, the progression of hepatorenal syndrome once identified is extremely quick and deadly.
Evans, Ernest, "Type 1 Hepatorenal Syndrome" (2016). Master of Science in Nursing (MSN) Student Scholarship. Paper 183.