Chapter 71 Care of Patients with Acute Kidney Injury and Chronic Kidney Disease (1).docx

Chapter 71 Care of Patients with Acute Kidney Injury and Chronic Kidney Disease (1).docx

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Chapter 71 Care of Patients with Acute Kidney Injury and Chronic Kidney Disease Acute Kidney Injury (AKI) Pathophysiology Types: Prerenal Hypovolemic shock Reduced blood flow to the kidney Intrarenal Within the renal RAS, goluerumonephritis, Postrenal Obstruction of urine flow Reflux, renal stones,
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Prerenal azotemia Elevated waste products in circulatory system = prerenal condition Causes: Hypovolemic shock Heart failure (R or L) Less circulation going to kidney
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Phases of AKI Rapid decrease in kidney function lead to collection of metabolic wastes in the body Phases: Onset Oliguric Diuretic Recovery Acute syndrome may be reversible with prompt intervention
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Hypovolemic Shock, s/p MVA Nursing interventions for: Nutritional considerations Balance nutritional aspect Electrolyte imbalances Mainly K+ Dosing implications Ex: peak & trough with Vancomycin IV Renal disorder doses is based on renal function
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Chronic Kidney Disease (CKD) Progressive, irreversible kidney injury; kidney function does not recover SLE, glomerulonephritis, frequent UTIs, pyelonephritis End-stage kidney disease (ESKD) Azotemia Uremia Urine in blood Elements/components of waste products = found in blood r/t not eliminated by malfunctioned kidney = accumulates
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Uremic syndrome Combination of manifestations
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Stages of CKD Reduced renal reserve Reduced kidney function Reduced GFR <125ml/min monitor urine I/O = reflects GFR ESKD The pt. is already = dialysis = w/n have reversible of kidney function
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  • Spring '17
  • Acevedo
  • Nephrology, Chronic kidney disease, acute kidney injury, AKI,  Less circulation,  Progressive

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