NUR 2115 Exam 2
- Renal failure
A reduction (or absence) of kidney function
- Acid base balance Water removal Erythropoesis
Toxin Removal Blood pressure control Electrolyte balance
Vitamin D activation
Functions of the Kidney
Acronym for "A WET BED"
3. CKD
Type of Renal Failure
Kidney damage or a decrease in the glomerular filtration rate (GFR) lasting for 3 or more months 1 / 4
-GFR <60 ml/min/1.73 m2 for 3 or more months -May result from Diabetes, cardiovascular disease, HTN, and obesity, glomulerulonephritis and polynephritis; polycystic, hereditary, or congenital disorders; and renal cancer
-Associated disease processes
Nephrosclerosis and Primary glomular disease
-If untreated, can result in end-stage kidney disease (ESKD)
- Inflammation GFR
BUN and creatinine
Anemia, metabolic acidosis, imbalanced calcium and phosphorus, fluid retention
Pathophysiology of CKD
Linked to prolonged acute -As the nephrons are damaged, the begins to decline
-Waste products in the blood begin to build up
and
-Renal function declines --> Leading to , , ,
- Mild to no symptoms May develop azotemia ESKD 2 / 4
Stages of CKD
Stage 1-2
Stage 3-4
Stage 5
6. 125
Normal GFR?
- Stage 1
Stage of CKD
GFR
90 or above 3 / 4
Kidney damage with normal or increased GFR
- Stage 2
Stage of CKD
GFR
60-89
Kidney damage with mild decrease in GFR
- Stage 3
Stage of CKD
GFR
30-59
Moderate decrease in GFR
- / 4