NURS 471 Lecture Notes - Lecture 11: Ileostomy, Metabolic Acidosis, Self-Care
Document Summary
Renal: regulate fluid balance, electrolyte balance: sodium, potassium, mag, ect, excrete waste: creatinine, urea, toxins, drugs, produces hormones: renin (regulates b/p: renin aldosterone system), erythropoietin (production rbc), vitamin d3 (regulates calcium and phos, acid/base balance. Conditions associated with renal failure: diabetes mellitus- #1 reason, htn, hypotension, cardiovascular disease / hepatic failure, sepsis, nephrotoxins nsaids (aleve, ibuprophen, excedrin), diuretics, antibiotics, overdoses drug- suicide attempts, retinopathy. Conditions associated with renal failure: family history- polycystic kidney disease, dm, obesity, congenital single kidney, nephritis, kidney cancer and other kidney diseases, increasing age: loose kidney function normally as age. 1-2 % change by age 30 and up to 12 % by 70 yr old (sclerotic glomeruli) Aki reduction in gfr that is often reversible. Increase in serum creatinine of 0. 3 mg/dl or increase in serum creatinine > 50 % Urine output of <0. 5ml/kg/hr for greater 6 hours. Urine output: oliguria <400ml/24h, nonoliguria >400ml/24, anuric < 100ml/24.
