Nursing 3910A/B Lecture Notes - Lecture 9: Dialysis, Jugular Vein, Renal Artery

• School: Western University
• Department: Nursing
• Course: Nursing 3910A/B
• Professor: David Reid

Document Summary

Produce hormones that regulate essential body functions like blood pressure. Remove excess water from the body or retain it when needed. O(cid:272)(cid:272)urs (cid:449)he(cid:374) kid(cid:374)eys (cid:272)a(cid:374)(cid:374)ot re(cid:373)o(cid:448)e the (cid:271)ody"s (cid:373)eta(cid:271)oli(cid:272) (cid:449)astes. Disruption in endocrine & metabolic fxns + fluid, electrolyte and abb. Sudden and almost complete loss of kidney function (gfr) over a period of hours to days. Oliguria = less than 400 ml per day. Anuria = less than 50 ml per day. Prerenal stoppage in flow, from hypoperfusion. Postrenal blockage, back up and overwhelm kidneys i. e. enlarged prostate, kidney. Intrarenal damage to kidney tissue i. e. infection, medication (nephrotoxin) stone. Pre-renal: volume depletion resulting from hemorrhage, renal losses. Impaired cardiac efficiency resulting from myocardial (decreased co), infarction, heart failure, dysrhythmias, cardiogenic shock: vasodilation resulting from sepsis, anaphylaxis, antihypertensive medications/meds that cause vasodilation. Intra-renal: renal ischemia (eg. trauma), nephrotoxic agents, infxn. Client sustained blood loss during surgery pre. Client experiencing complications from a recent tattoo and body piercing infection.