Renal denervation involves application of radiofrequency waves to ablate renal nerves in order to reduce RSNA1*. The catheter is taken to the kidney via the femoral artery. There have been many different techniques and methods of ablating renal sympathetic nerves, with the simplicity trial proving to be the most effective and efficient4. During the symplicity HTN-1 trails, 153 patients over 19 different site around the world received renal sympathetic using the symplicity catheter2. The…
Acute Kidney Injury Case Study 1. AKI can be prerenal, intrarenal, and postrenal. Prerenal is a decrease in blood flow to the kidneys and this leads to a decrease in glomerulus perfusion and filtration. During prerenal, Azotemia occurs and is the accumulation of nitrogenous waste in the blood. This results in a reduction in sodium excretion, increased sodium and water retention, and decreased urine output. Intrarenal has direct damage to the kidney. Nephrotoxins can cause structures to…
An electrolyte is an ionised component of a living cell, blood or any other matter and can conduct electricity when molten or dissolved. There are many different electrolytes found in our body such as sodium, potassium, chloride, calcium and so forth. Electrolytes have many functions throughout the body for instance controlling the water balance in the body. Also assisting transmitting nerve impulses and helping your muscles relax and contract. For example Sodium chloride which is also know by…
ACUTE KIDNEY INJURY – Acute Kidney Injury (AKI) is currently recognized as the preferred nomenclature for the clinical disorder formerly called Acute Renal Failure(ARF).This transition in terminology was meant to emphasize that the spectrum of the disease is much broader than a subset of patients who experience failure and require dialysis support .This nomenclature explains that renal failure occur as a continuum 1. AKIN recently defined AKI as “ functional or structural abnormalities or…
Raynaud Syndrome: What do you need to Know About it? Raynaud syndrome or Raynaud's (Ray-Nodes) ... What is it? Many of you don't have any knowledge about it, not even the basic parts and parcels. Actually, Raynaud syndrome is a terminology, which is related to the vessels. What is Raynaud Syndrome? Raynaud syndrome is a medical disorder that is associated with the improper blood flow. In such condition, an individual's fingers turn white because the blood flow has been ceased or strikingly…
The familial form of neurohypophysis diabetes insipidus is caused by mutations in the AVP gene. This gene provides instructions for making a hormone called vasopressin or antidiuretic hormone (ADH). This hormone, which is produced and stored in the brain, helps control the body's water balance. The kidneys filter the blood to remove waste and excess fluid, which are stored in the bladder as urine. ADH controls the balance between fluid intake and urine excretion. Normally, when a person's fluid…
During ARF excess fluid volume can occur due to the intake being greater than the output. This usually occurs in the oliguria phase. Due to the patient being on diuretic, the nursing intervention would be to monitor I/O and also monitor for the specific gravity in the urine. In order to measures the kidney’s ability to concentrate urine. The nurse also needs to maintain and monitor the patient weights daily to prevent any additional weight to be added. The patients need to be on a fluid and diet…
The reasons this patient requires retrograde and antegrade pyelography is because there were three distinct abnormalities on IVP, which could have been responsible for the hematuria. IVP is a more sensitive for detection of small lesions of the ureter or renal pelvis. The IVP has a higher sensitivity and specificity than an abdominal plain film for the detection of stones and provides data about the degree of obstruction. The IVP can also visualize both the bladder and the upper urinary tracts.…
What is kidney failure? Kidney failure, also called end-stage renal disease. When someone’s kidney function gets below a certain point, it is called kidney failure. Kidney failure is when someone’s body cannot filter wastes from the blood. Kidney failure can make someone feel very ill and if it is left untreated it can be life-threatening. Kidney failure is life changing, it can be deadly and sometimes it can be treatable or…
Acute kidney injury (AKI) is defined as a decrease in kidney function occurring in the glomerular filtration ability of the kidney causing an increase in nitrogenous waste in the blood and in turn increasing the creatinine and blood urea nitrogen levels (McCance & Huether, 2014). Other findings associated with AKI include, a decrease in urinary output and also accumulation of metabolic acids, and increased potassium and phosphate concentrations (Bellomo, Kellum & Ronco, 2012). The AKI is…