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Group 3 Fisher

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shenell delfin
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WHAT IS ARF? ,[object Object],[object Object],[object Object],Types: 1. Prerenal 2. Intrarenal 3. Postrenal Phases: 1. Oliguric Phase 2. Diuretic Phase 3. Recovery or Convalescent Phase
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Etiology
Pathophysiology: ARF Predisposing factors: Age Gender Race Genetics Precipitating Factors: Environment Lifestyle Disease Trauma, Infection Acute Injury to Kidneys Partial Destruction of the Functional Units of the Kidney Decreased GFR Oliguria Anuria Creatinine BUN Azotemia Sp. Gravity Edema Electrolyte Imbalance Inability to excrete fluid loads & metabolic wastes Hyperkalemia Hyponatemia Metabolic Acidosis
[object Object],[object Object],[object Object],[object Object],Recovery Phase Normal Kidney Function Normal Serum Electrolytes
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physical Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assessment
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostic Tests
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nursing Care:
CHRONIC RENAL FAILURE
Chronic Renal Failure ,[object Object],[object Object],[object Object]
Stages of CRF Stage 1: Diminished renal reserve Stage II: Renal Insuffiency Stage III: End Stage Renal Disease(ESRD) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Precipitating Factors: Lifestyle Chronic conditions( HPN and DM) Glumerolunephritis Dehydration infection Decreased renal reserve (Renal tissue destruction and hypertrophy of functional nephrons) Glomerular sclerosis/ scarring Polyuria Azotemia HPN Renal insuffiency PATHOPHYSIOLOGY OF CRF
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Symptoms
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Oliguria Increase BUN Increase creatinine Kidney atrophy and fibrosis ESRD
Medical intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Uremia
Uremia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations
Interventions: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nursing Care
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Nursing Diagnosis
Peritoneal and Hemodialysis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
B . Hemodialysis ,[object Object],[object Object]
Types of Access for Hemodialysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peritoneal and Hemodialysis VIDEO CLIP
Nursing Care of the Client Undergoing Peritoneal Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Care of the Client Undergoing Hemodialysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],NURSING DIAGNOSIS
Nephrectomy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Large right renal tumor visible as an abdominal mass.
To remove a kidney in an open procedure, an incision is made below the ribcage (A). The kidney is exposed (B) and connections to blood vessels and the ureter are severed (C). The kidney is removed in one piece (D).
Renal tumor after surgical removal
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],nursing diagnosis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],in the past.... With laparoscopic surgery techniques, the donor kidney can be removed with very small incisions and little scarring Now...
Once the kidney is removed, it is flushed with a preservative solution and prepared for implantation by the transplant surgeon
 
 
Neurologic bladder is a dysfunction that results from a lesion of the nervous system . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Surgery
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assessment Nursing diagnosis

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Group 3 Fisher

  • 1.  
  • 2.
  • 3.
  • 4. Pathophysiology: ARF Predisposing factors: Age Gender Race Genetics Precipitating Factors: Environment Lifestyle Disease Trauma, Infection Acute Injury to Kidneys Partial Destruction of the Functional Units of the Kidney Decreased GFR Oliguria Anuria Creatinine BUN Azotemia Sp. Gravity Edema Electrolyte Imbalance Inability to excrete fluid loads & metabolic wastes Hyperkalemia Hyponatemia Metabolic Acidosis
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 22.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28. Peritoneal and Hemodialysis
  • 29.
  • 30.
  • 31.  
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Peritoneal and Hemodialysis VIDEO CLIP
  • 37.
  • 38.
  • 39.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45. Large right renal tumor visible as an abdominal mass.
  • 46. To remove a kidney in an open procedure, an incision is made below the ribcage (A). The kidney is exposed (B) and connections to blood vessels and the ureter are severed (C). The kidney is removed in one piece (D).
  • 47. Renal tumor after surgical removal
  • 48.
  • 49.  
  • 50.
  • 51.
  • 52.
  • 53.  
  • 54.
  • 55.
  • 56.
  • 57. Once the kidney is removed, it is flushed with a preservative solution and prepared for implantation by the transplant surgeon
  • 58.  
  • 59.  
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.