Nephrology

Kidney Dialysis Kidney dialysis is a treatment that helps save lives. It uses a dialysis machine to filter out the harmful waste, salt and excess fluid from your blood, which brings the blood back to normal. To filter your blood through the machine the doctor needs to make an access through your blood vessels. They would do this by minor surgery to either your arm or leg. Sometimes they make an access by joining an artery to a vein that is under your skin to make a fistula which is a bigger…

kidney damage, atherosclerosis, stroke, and heart attack. If left untreated, it can lead to abruptio placentae, cerebral hemorrhage, cerebral vascular accident, acute renal failure, and intrauterine growth restrictions for the fetus (Norton 2007).” This decreased circulation leads to significant changes as follows: Decreased renal perfusion reduces the glomerular filtration rate causing blood urea nitrogen, creatinine, and uric acid levels to rise; Glomerular damage from the reduced renal blood…

Kidney stones come mainly in 4 varieties- calcium, struvite, cystine and finally uric acid. That said, nearly 80% of the kidney stones are comprised of calcium deposits, most notably the oxalate type. While certain foods may promote stone formation in people who are susceptible, scientists do not believe that eating any specific food causes stones to form in people who are not susceptible. Fortunately, because cutting such a vital and delicate organ carries a high risk of permanent damage,…

HPB Assignment Kidney Disease Mr Goodpasture has presented with the signs and symptoms associated with worsening of his chronic kidney disease (CKD) including signs of fluid overload and uraemia defined as the presence of excessive amounts of waste such as creatinine and urea in the blood (Mosby's Dictionary of medicine,nursing and health professionals, 2009). These include pitting oedema, basal crackles, agitation, increased temperature and premature ventricular complexes. There are also…

1. Healthcare Condition/Problem Described by the Healthcare Professional During my interview with my cousin, Macy Taylor, I learned that she frequently comes across patients with liver cirrhosis. My cousin is a registered nurse at Piedmont Atlanta Hospital. She works on floor six, South Medsurg Renal, which means the floor she works on specializes in renal, but she said not all of her patients have kidney issues. Their floor deals with a wide variety of complications and she provided me with…

What Causes Kidney Failure Kidneys are the organs that help filter waste products from the blood. They are also involved in regulating blood pressure, electrolyte balance, and red blood cells production in the body. Sysmtoms of kidney failure are due to build-up of waste products in the body that may cause weakness shortness of breath, lethargy,and confusion. Inability to remove potassium from the bloodstream may lead to abnormal heart rhythms and sudden death, initially kidney failure may…

Chronic Kidney Disease Chronic Kidney disease(CKD) is also known as Chronic Kidney Failure and is the gradual loss of kidney function. The kidneys are responsible for filtering wastes and excess fluids from the blood, which is than excreted through urine. When CKD reaches an advanced stage, the levels of fluids become very dangerous and it causes electrolytes and wastes to build up in the body.(Mayo Clinic, 2016) Pathophysiological Process CKD occurs when a disease or condition impairs kidney…

On 02/08/17 I was on 4SICU, the cardiothoracic intensive care unit, and my patient was D.B., a 60-year-old male. D.B. was on 4SICU because he had a heart transplant on 1/24/17. However, prior to and after his heart transplant, he had various multi-system physical disruptions. D.B. had ischemic cardiomyopathy with an ejection fraction of 25%. The normal ejection fraction lies somewhere between 55-75%. In 2010, the patient had an implantable cardioverter defibrillator (ICD) placed. In 2014, a…

“Chronic Kidney Disease, also called chronic kidney failure, describes the gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then excreted in your urine. When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in your body”. Chronic Kidney disease usually relates to anemia and the level of anemia correlates with the severity of renal failure. Many conditions can cause CKD, causes…

3- Complications of Roux-en-Y Bypass: Table: Incidence and timings of postoperative complications after LRYGB Complication Incidence (%) Timing (early 1 month) GI bleed 1–2 Early Leak 1–2 Early/intermediate Ulcers and GG fistula 4 Late GI obstruction 5 Late but may occur early/intermediate Thromboembolism 0.1–1.3 Early/intermediate Skin complications variable Late Nutritional complications (of some degree) variable Late Metabolic complications…