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Pathopysiology of kidney failure
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The renal system allows the body to eliminate wastes through urination to maintain metabolic fluid and electrolyte balance, regulates blood volume and blood pressure. However, many complications can arise from several contributing factors that may impair proper renal function. For example, diabetes mellitus can lead to permanent kidney damage when not monitored appropriately. Once kidneys have been severely damaged, developments far more extensive can occur. For example, end stage renal disease. End stage renal disease (ESRD) causes an irreversible deterioration in kidney function. According to Wexner Medical Center, “healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. …show more content…
Mostly the ultimate goal is to slow the progression of the disease by helping the patient maintain body status and functions within normal limits. Treating underlying causes and contributing factors such as diabetes mellitus, blood pressure, urine output, dietary intake and fluid retention are all connected to goals that may be met. Maintaining blood glucose control for patients with diabetes mellitus will help maintain kidney flow without overusing the effectiveness of filtering out more glucose than it can handle. Blood pressure is connected to many things, helping a patient maintain normal blood pressure may consist of taking daily medications, ambulating, or restricting certain foods. Treating the complications of End Stage Renal Disease such as anemia that derive from main disease will help the patient regress in a better way even though the disease is incurable. Replacing lost kidney function such as dialysis or kidney transplant will motivate the patient to take part in reaching or helping maintain these
The kidneys are located in the posterior section of the retroperitoneal cavity and are small, dark red kidney-bean shaped organs in the lower part of the rib cage (Marieb, The Urinary System, 2015). They are undervalued organs considering how essential they are for the body’s ability to maintain homeostasis. The kidneys filter about 120-150 quarts of blood to produce about 1-2 quarts of urine each day (NIH, 2014). Blood initially enters the kidneys through the renal artery. It then flows into the segmental artery before moving into the interlobar artery. From the interlobar artery the filtrate enters the arcuate artery before branching into the cortical radiate artery, which feeds into the afferent arteriole, before passing into the glomerulus where it begins to filter out waste. The filtered waste is then collected by renal tubule. The tubules drain to collecting ducts and all of these components together makes up a small unit called a nephron. Each kidney has over a million nephrons (Marieb, Blood Supply/ Nephrons, 2015). They filter out wastes that run through different body systems via blood; the majority of that waste is nitrogenous wastes, toxins, excess fluids, electrolytes, and drugs. These waste products are eliminated as urine. While waste are removed vital enzymes, hormones, and water are returned
Kidneys play an important role in the unary tract. They are located on each side of the spine, just below the ribcage. Each kidney is connected to the bladder by ureters. The kidneys have many functions, but the most common functions are to clean waste, control chemicals, and regulate fluid in the body which makes up the urine. Urine collects in the kidney before entering the ureters and as time passes more materials are added. When calcium and oxalate or phosphates are combined in the kidney tiny stones are formed called nephrolithiasis, commonly known as kidney stones. These stones can be very painful and “increases risks for diabetes, high blood pressure, and osteoporosis” (Goldfarb, 2009). About ten percent of all people will have kidney stones in their lifetime. Kidney stones are most frequently found in white men over the age of forty, relatives of kidney stone patients, and people who have formerly had kidney stones.
According to my studies, Ms. Mendoza should avoid jobs involving strenuous work activity. Maintenance of optimal health is essential for her due to her being on dialysis since she is predisposed to anemia, have lowered resistance to infection, and experience fatigue. Additionally, the case study didn’t mention if she has loss of vision but most diabetics experience vision loss which impacts the ability to perform job functions .To help Ms. Mendoza , maintain a life-long program of well-being, including a well-balanced diet and an appropriate exercise program, hospitals employ a team of professionals consisting of the treating physician, dietician, medical
The urinary tract consists of two kidneys, to ureters, urethra, and the urinary bladder. The urinary system works to remove waste from the body, maintain homeostasis of water, blood pressure, and regulate the body’s pH levels. The kidneys regulate several important internal conditions by excreting substances out into the body. After urine has been produced in the kidneys it is then transported to the urinary bladder via the ureters. The urinary bladder then holds the urine until the body is ready for excretion through the urethra.
The nephrologist has to deduce the major cause of the disease in the individual so that he or she can know the approach to apply in treating the ailment. According to the National Kidney Foundation (2016), the considerations made are the potential risks that expose the patient to chronic kidney disease. The major risks are other conditions in the body such as diabetes, hypertension and pregnancy. The age and weight of the individual also influence the treatment and diagnosis of the disease in the patient. Chronic kidney disease mostly affects individuals over the age of 60 years thus the diagnosis approach developed mostly suits them. If the disease is found in a child, the diagnosis and treatment approach changes since the dosage especially in prescription will change. Weight is another factor that is considered in the diagnosis and treatment of the condition. Obese individuals are at a higher risk of developing diabetes, which is a cause of the disease. The other factors considered in the treatment of the disease is the stage of the disease in the individual whether it is at mild, moderate or advanced
In medicine dialysis is primarily used to provide an artificial support for the lost kidney function in people with renal failure.
... smoking; this is making their kidneys die quicker than they already are which are struggling to try to maintain a small amount of filtration process. Lastly, a second long term goal is to encourage a person who drinks excessive alcohol to stop because that will defiantly put the person at risk to die faster than the disease itself and will also affect their liver function as well. These goals are meant to help and restore the process of Acute Renal Failure but will only be accomplished if the person with this disease is willing to give it everything they got to fight or await a miracle to end their sickness.
Complications related to diabetes and nephropathy are said to account for 50% of new cases of end stage renal disease (...
Healthy kidneys clean the blood by filtering out extra water and wastes. They also make hormones that keep your bones strong and blood healthy. When both of your kidneys fail, your body holds fluid. Your blood pressure rises. Harmful wastes build up in your body. Your body doesn't make enough red blood cells. When this happens, you need treatment to replace the work of your failed kidneys.
• Work with your health care provider to manage any long-term (chronic) health conditions you have, such as diabetes or kidney problems.
Kidney Function Introduction and definition of terms: The kidneys are the main organs in the urinary system. They filter waste products out of blood from the renal artery. These are then excreted. Useful solutes are reabsorbed into the blood. They also have a major homeostatic role in the body, and help to control the water content (osmoregulation) and pH of the blood.
The urinary system helps regulate a woman’s pH balance. Although, the urinary system is beneficial it also can also be very open to infections, blockages and injuries. Inside the body, the kidney’s helps make the urine by filtering wastes from the body. The urinary system works with many parts throughout the body such as the lungs, the skins and the intestines (Urinary system 2017).
From the results of the numerous tests carried out according to the patient history of frothy urine with a significant oedema over a maximum period of 5 days, the patient was diagnosed with Nephrotic Syndrome. This is condition that occurs due to leakage in the kidney filtration part leading to a large amount of protein leaking from the blood into the urine. This is mainly due to fluid retention known as oedema which is as a result of low protein level in the blood. It occurs due to abnormal functioning or a part of the kidney is affected (glomeruli). This syndrome can be caused by numerous diseases coming together to cause or form one particular disease; these causes range from minimal change disease, membranous nephropathy, focal segmental glomerulosclerosis (FSGS) and other conditions, disorders of the glomeruli. The membranous nephropathy also known as the membranous nephritis or membranous glomerulonephritis, only causes diseases in adults and very uncommon in children. Leakage occurs from this due to the thickening of the membranous in the glomeruli which is the filter of the glomeruli. Focal segmental glomerulosclerosis is a causative due to the formation of small scars (sclerosis) on some of the kidney glomeruli. Another form of cause of nephrotic is minimal change which is due to lack of virtual change detected in the glomeruli when examined under the microscope. This causes the syndrome in 9 out of a total of 10 children under the age of 5 years.
Furthermore, they are involved in the reabsorption of nutrients in the bloodstream and they can regulate the acidity of the blood. Besides the regulation of the fluids and ions, the kidneys are also responsible for the regulation of many different hormones that are involved in homeostasis and metabolism. Because of their importance in the regulation of substances in the body, when the kidneys stop working properly all the body is influenced by that creating disequilibrium in the maintenance of homeostasis and control of all the metabolic functions which can indirectly cause other problems to the body.... ... middle of paper ... ...
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.