NUR1 320 Lecture Notes - Lecture 7: Renal Function, Patient Education, Uremia
10 May 2016
School
Department
Course
Professor
Document Summary
Inhibition of adh increased h2o excretion: o. Decrease serum osm: increase serum osm production of adh increased h2o reabsorption, urine osmolality (300-900 mosm/kg, increased urine osm concentrated urine, decreased urine osm diluted urine. Fluid and electrolyte balances: average fuild intake: 2500ml 35ml/kg/day, urine output: 150ml/day 62. 5ml/h or 0. 5-1ml/kg/hr, weight gain or loss: 1l = 1kg. Risk factors for renal injury: htn (hypertension, obesity, dm2 (db) Solitary kidney: recent return from hong kong (24 hrs of travel time, hypoxemia. Any process that interferes with blood flow to the kidneys. Relative decrease in blood volume (ineffective blood volume) Examples of insults: vascular: hemorrhage, gastrointestinal: vomiting, diarrhea, renal: polyuria (e. g. , diuretics or severe glycosuria, decreased cardiac output: Fluid pooling (e. g. , peritonitis, pancreatitis: heart failure, myocardial infarction. Caused by problems that target the kidney parenchyma (renal tissue) where the injury occurs (e. g. , acute tubular necrosis and acute interstitial nephritis)
