NR507- Advanced Pathophysiology Final Exam/Final Exam - NR507 / NR 507 (Latest 2023 / 2024) : Advanced Pathophysiology - Chamberlain
2 views 0 purchase
Course
NR 507
Institution
Chamberlain College Of Nursing
NR507- Advanced Pathophysiology Final Exam/Final Exam - NR507 / NR 507 (Latest 2023 / 2024) : Advanced Pathophysiology - Chamberlain
Acute renal failure
Reversible
Determining prognosis- kidneys respond to diuretic with good output; this indicates that kidneys are functioning well
Acute Pyelo...
Reversible
Determining prognosis- kidneys respond to diuretic with good output; this indicates that kidneys are
functioning well
Acute Pyelonephritis
Diagnosing by clinical symptoms alone can be difficult; can be similar to cystitis
Diagnosis established by:
-Urine culture
-Urinalysis (WBC casts indicates pyelonephritis, but may not always be present)
-Signs/Symptoms
-Complicated pyelonephritis requires blood cultures and urinary tract imaging
Renal Calculi (Renal Stones)
Goals of Treatment:
Manage acute pain
Promote passage of stone
Reduce size of stone
Prevent new stone formation
Chronic Renal Failure
Chronic Kidney Disease (CKD) is a progressive loss of renal function associated with systemic disease
such as hypertension, diabetes mellitus (most significant risk factor), systemic lupus erythematosus or
intrinsic kidney disease
CKD stage is determined by estimates of GFR and albuminuria
Who is a candidate for dialysis?
End-stage renal disease (ESRD) is the final stage of CKD with the number one cause being diabetes
mellitus combined with hypertension. At this point, the patient is completely dependent on dialysis to
survive.
CKD is classified into five stages and is based on the patient's GFR rather than symptoms.
Patients will need dialysis when the following symptoms are present:
--Metabolic acidosis.
--Hyperkalemia: Hyperkalemia in the presence of EKG changes (peaked T-waves) is an indication for
dialysis. --Hyperkalemia by itself is not an indication for dialysis.
, --Drug toxicity: Drug toxicity due to the following drugs is an indication for dialysis and include
salicylates, Lithium, Isopropanol, Methanol and Ethylene glycol).
--Fluid volume overload that is not responsive to diuretics.
--Uremic symptoms due to nitrogenous wastes in the blood stream.
Stage I CKD
There is kidney damage with normal or elevated GFR
90-120
Stage II CKD
There is kidney damage with mild decrease in GFR
60-89
Stage III CKD
There is a moderate decrease in GFR
30-59
Stage IV CKD
There is a severe decrease in GFR
15-29
Stage V CKD
Kidney failure- End-stage renal disease
<15 (dialysis) Once Stage IV is reached, progression to Stage V is inevitable as well as dialysis or kidney
transplant
Warning signs include: Symptoms over age of 50:
-Dysphagia (difficulty swallowing)
-Odynophagia (pain on swallowing)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
