nursing care of individual experiencing a renal disorder课件

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1、7/12/20211NursingCareofIndividualExperiencingaRenalDisorder:VascularDisordersRenalTraumaAcuteRenalFailuremodifiedbyKelleHowardRN,MSNRenalA&P-excellentsiteforrenalpathophysiology7/12/20212I.A&PoftheKidney-(locatestructures)FibrouscapsuleRenalcortexRenalmedull

2、aPyramidsPapillaeMinorcalyxMajorcalyxRenalpelvisUreter7/12/20213II.FunctionsoftheKidneysRegulates______&_________ofextracellularfluidRegulatesfluid&electrolytebalancethruprocessesof:glomerular__________,tubular_________,andtubular_____________.NamesomeoftheF&Esre

3、gulatedbykidneys__________________7/12/20214FunctionsoftheKidneys(cont)Regulatesacid-basebalancethrough_________*Hormonalfunctions:(BPcontrol),multisytemeffect.ReninReleaseRAAS=7/12/20215HowtheRAASPathwayWorksValerieKolmer20067/12/20216QuickQuizPickthecorrectpath

4、wayoftheRAAS1.Renin–AngiotensinII–ACE–ADH–Aldosterone2.Renin–AngiotensinI–Aldosterone–ADH–ACE3.Renin-AngiotensinI-ACE-AngiotensinII-Aldosterone7/12/20217FunctionsoftheKidneys(cont)ErythropoietinReleaseIfapatienthasrenalfailure,whatconditionwilloccur?WHY???7/12/2

5、0218FunctionsoftheKidneys(cont)ActivatedVitaminDNecessarytoabsorbCalciumintheGItract.Ifapatienthasrenalfailure,whatwillhappentothepatient’sserumcalciumlevel?__________________Review:FunctionsoftheKidneysRegulate1.___________2.___________3.___________4.__________

6、_Releaseof________________Activationof_______________7/12/202197/12/202110III.Nephron-functionalunitoftheKidney!HowtheNephronWorks!Click-watchYouTubevideo!7/12/202111IdentifytheNephron’sPartsGlomerulusBowman’scapsuleProximaltubuleLoopofHenleDistaltubuleCollecting

7、ductClickhereforNephronA&P&Gamestoo!7/12/202112RenalTraumaEtiology:Bluntforcefromfalls,MVA,sportsinjuries,knife/gunshotwounds,impalement,ribfracturesCommonManifestations:MicroscopictogrosshematuriaFlankorabdominalpainOliguriaoranuriaLocalizedswelling,tenderness,e

8、cchymosisflankarea-Turner’sSignSigns/Symptomsdependuponseverityinjury*Severebloodloss/signsshock7/12/202113RenalTrauma7/12/202114RenalTraumaWhatarecommondiagno