【持续性肾脏替代治疗crrt英文精品课件】nursing care of individual experiencing a renal disorder-vascular disorders,renal trauma,acute renal failure (57p)

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1、9/14/20211NursingCareofIndividualExperiencingaRenalDisorder:VascularDisordersRenalTraumaAcuteRenalFailureRenalA&P-excellentsite-renalpathophysiologycmj20109/14/20212I.A&PoftheKidney-(locatestructures)FibrouscapsuleRenalcortexRenalmedullaPyramidsPapillae

2、MinorcalyxMajorcalyxRenalpelvisUreter9/14/20213II.FunctionsoftheKidneysRegulates______&_________ofextracellularfluidRegulatesfluid&electrolytebalancethruprocessesof:glomerular__________,tubular_________,andtubular_____________.NamesomeoftheF&Esregulatedbykid

3、neys__________________volumeandcompositionfiltration,reabsorption,secretionNa,K,HCO3,H,9/14/20214FunctionsoftheKidneys(cont)Regulatesacid-basebalancethrough*Hormonalfunctions:(BPcontrol),multisytemeffectthrough>RAAS=Renin-Angiotensin-Aldosterone-SystemHCO3an

4、dH+ReninRelease9/14/20215HowtheRAASPathwayWorks(Knowthis)ValerieKolmer2006Clickhere-Renin-Angiotensin-AldosteronePathwayTheSong!9/14/20216QuickQuizPickthecorrectpathwayoftheRAAS1.Renin–AngiotensinII–ACE–ADH–Aldosterone2.Renin–AngiotensinI–Aldosterone–ADH–ACE

5、3.Renin-Angiotensin1-ACE-Angiotensin11-Aldosterone#39/14/20217FunctionsoftheKidneys(cont)ErythropoietinReleaseIfapatienthaschronicrenalfailure,whatconditionwilloccur/WHY???*Anemia–fromimpairederythropoietinproductionandplateletabnormalities>bleedingrisk9/14

6、/20218FunctionsoftheKidneys(cont)ActivatedVitaminDNecessarytoabsorbCalciumintheGItract.Ifapatienthasrenalfailure,whatwillhappentothepatient’sserumcalciumlevel?__________________*Lowserumcalciumlevel/elevatedphosphate-inabilitykidneystoactivatevitD-*hypocalc

7、emia>parathyroidgland>secretesPTH>stimulatesbonedemineralization>releasecalciumfrombones!Review:FunctionsoftheKidneysRegulate1.___________2.___________3.___________4.___________Releaseof________________Activationof_______________9/14/202191.volume2.compositi

8、onextrcellularfluid3.fluid4.electrolytebalance1.renin2.activationVitD9/14/202110III.Nephron-functionalunitofKidney!HowtheNephronWorks!Click-watchYouTubevideo!9/14/202111IdentifytheNephron’sParts