09.05 Chronic Renal Failure for CCRN Review
Included In This Lesson
Outline
Nursing Points
General
- Chronic renal failure
- Decline in kidney function
- Stages
- Diminished renal reserve
- 50% nephron loss
- Renal insufficiency
- 75% nephron loss
- End Stage Renal Disease (ESRD)
- 90% nephron loss
- Uremic Syndrome
- 100% nephron loss
- Diminished renal reserve
- Inverse relationship
- As creatinine level increases GFR decreases
- Hyperkalemia
- Causes EKG changes
- Peak T waves
- High potassium level of 6.7-6.9
- Prolonged PR interval
- Potassium level 7
- Lose P wave
- Potassium level 7.5
- Wide complex
- Potassium level 7.8-7.9
- Biphasic
- Potassium level 8
- Sine wave
- Calcium chloride IVP – treatment for EKG involvement
- Protects heart to allow normal conductivity
- Does not lower K level
- Calcium chloride IVP – treatment for EKG involvement
- Muscle weakness
- Peak T waves
- Treatment
- Insulin -hides potassium
- Glucose
- Sodium bicarb -pushes potassium into the cell
- K excelate –> removes potassium from cell into the bowel
- Causes EKG changes
- Calcium and Phosphate
- Reciprocal relationship
- Kidney disease
- Low vitamin D
- Low Calcium
- High Phosphate
- Treatment
- Amphogel –> Decreases phosphate
- Oscal –> Increase calcium
- Hyperphosphatemia
- Chvostek’s sign
- Trousseau’s sign
- Twitch
- Seizures
- Same as hypocalcemia
- Hypercalcemia
- Muscle weakness
- Apathy
- Diabetes
- Nephrogenic diabetes inspidus
- Same as hypophosphatemia
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System