[Expert Solution]: A 60-year-old female patient is brought to…

A 60-year-old female patient is brought to the Community Hospital complaining of flank and back pain, fever with chills, fatigue, and a general ill feeling. The patient was known to have essential hypertension and had a history of renal calculi treated six months ago. The patient was admitted with a diagnosis of possible urinary tract infection. Workup in the hospital showed evidence of acute pyelonephritis. She was treated with intravenous antibiotics via peripheral vein, but while in the hospital the patient had a sudden loss of kidney function. A diagnosis was made of acute renal failure complicating the acute pyelonephritis. The physicians ordered intermittent renal dialysis for the acute renal failure to be performed three times over the next five days, four hours each session, and the hospital arranged for the dialysis service to be performed. The patient was discharged to home care with arrangements for a visit to the nephrologist office on the second day after discharge to determine if renal dialysis needed to be continued on a temporary basis.