Renal Disorders Case Study
|Chapter 44 |
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|Management of Patient with Renal Disorders |
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|Submitted by: |
|Inac, Sarah Gaile T. |
|BSN III |
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|Submitted to: |
|Prof. Frederick Calara PTRP, RN,RM,MAN …show more content…
▪Secondary glomerular diseases that can have systemic effects include lupus erymatosus, Goodpasture’s syndrome (caused by antibodies to the glomerular basement membrane), diabetic glomerulosclerosis and amyloidosis.
PATHOPHYSIOLOGY
▪Kidneys are reduced to as little as one-fifth their normal size (consisting largely of fibrous tissue).
▪The cortex layer shrinks to 1-2mm in thickness or less.
▪Bands of scar tissue distort the remaining cortex, making the surface of the kidney rough and irregular.
▪Numerous glomeruli and their tubules become scarred, and the branches of the renal artery are thickened.
▪The resulting severe glomerular damage can progress to stage 5 CKD and require renal replacement therapies.
CLINICAL MANIFESTATIONS
▪Some pt with severe disease have no symptoms at all for many years.
▪It may discovered when hypertension or elevated BUN and Serum Creatinine levels are detected.
▪Loss of weight and strength
▪Increasing …show more content…
NURSING MANAGEMENT
▪Nsg mgt is similar to that of the pt with acute glomerulonephritis but as the condition worsens, mgt is similar to that of the pt with ESRD.
▪Pt with nehrotic syndrome need adequate instruction about the importance of following all medication and dietary regimens.
▪Pt must be aware of the importance of communicating any health-related change to their health care providers as soon as possible so that appropriate medication and dietary changes can be made before further changes occur within the glomeruli.
POLYCYSTIC KIDNEY DISEASE
▪A genetic disorder characterized by the growth of numerous cysts in the kidneys.
▪When cysts form in the kidneys, they are filled with fluid, destroying the nephrons.
▪PKD casts can profoundly foundly enlarge the kidneys while replacing much of the normal structure, resulting in reduced kidney function and leading to kidney failure.
Two major inherited forms of PKD
▪Autosomal Dominant PKD –most
| |
|Management of Patient with Renal Disorders |
| |
| |
| |
|Submitted by: |
|Inac, Sarah Gaile T. |
|BSN III |
| |
|Submitted to: |
|Prof. Frederick Calara PTRP, RN,RM,MAN …show more content…
▪Secondary glomerular diseases that can have systemic effects include lupus erymatosus, Goodpasture’s syndrome (caused by antibodies to the glomerular basement membrane), diabetic glomerulosclerosis and amyloidosis.
PATHOPHYSIOLOGY
▪Kidneys are reduced to as little as one-fifth their normal size (consisting largely of fibrous tissue).
▪The cortex layer shrinks to 1-2mm in thickness or less.
▪Bands of scar tissue distort the remaining cortex, making the surface of the kidney rough and irregular.
▪Numerous glomeruli and their tubules become scarred, and the branches of the renal artery are thickened.
▪The resulting severe glomerular damage can progress to stage 5 CKD and require renal replacement therapies.
CLINICAL MANIFESTATIONS
▪Some pt with severe disease have no symptoms at all for many years.
▪It may discovered when hypertension or elevated BUN and Serum Creatinine levels are detected.
▪Loss of weight and strength
▪Increasing …show more content…
NURSING MANAGEMENT
▪Nsg mgt is similar to that of the pt with acute glomerulonephritis but as the condition worsens, mgt is similar to that of the pt with ESRD.
▪Pt with nehrotic syndrome need adequate instruction about the importance of following all medication and dietary regimens.
▪Pt must be aware of the importance of communicating any health-related change to their health care providers as soon as possible so that appropriate medication and dietary changes can be made before further changes occur within the glomeruli.
POLYCYSTIC KIDNEY DISEASE
▪A genetic disorder characterized by the growth of numerous cysts in the kidneys.
▪When cysts form in the kidneys, they are filled with fluid, destroying the nephrons.
▪PKD casts can profoundly foundly enlarge the kidneys while replacing much of the normal structure, resulting in reduced kidney function and leading to kidney failure.
Two major inherited forms of PKD
▪Autosomal Dominant PKD –most