System Disorder Disorder/Disease Process: Chronic Kidney Disease Alterations in Health (Diagnosis) Alteration in perfusion Pathophysiology Related to Client Problem Nephron destruction eventually causing irreversible kidney damage Heath Promotion and Disease Prevention Drink at least 2 L of water daily Smoking cessation Limit alcohol intake Diet and exercise to manage weight to prevent or control HTN or DM Adhere to medications Test for albumin in urine yearly Take antibiotics until complete Limit use of NSAIDs
Risk Factors Acute kidney injury DM Chronic glomerulonephritis Nephrotoxic medication HTN Autoimmune disorders Polycystic kidney disease Renal artery stenosis Expected Findings Nausea, fatigue, lethargy, involuntary movement of legs, depression, intractable hiccups Fluid overload SOB Anemia Blood in stools Change in urination Urea crystal on skin (uremic frost) Laboratory Tests Urinalysis: hematuria, proteinuria, decrease in specific gravity Serum Creatinine: gradual increase BUN: gradual increase Serum electrolytes: decrease in sodium
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- Fall '19
- Chronic kidney disease, Kidney damage