Chronic Renal Failure (Kidney Disease) Nursing | End Stage Renal Disease Pathophysiology NCLEX
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- เผยแพร่เมื่อ 19 มิ.ย. 2024
- Chronic renal failure, also called chronic kidney disease, nursing NCLEX review lecture on the pathophysiology, symptoms, stages, and causes.
Chronic kidney disease is a significant decline in kidney function that happens over a long period of time that leads to the buildup of waste, water, and electrolyte imbalances in the body. CKD is irreversible.
There are various stages of chronic kidney disease and each stage is based on the patient's glomerular filtration rate (GFR). Stage 1 is kidney disease with normal renal function (GFR greater than 90 mL/min) and proteinuria for 3 months or more. Each stage progresses with a declining glomerular filtration rate until the GFR is 15 mL/min or less and this is known as end-stage renal disease, which is Stage 5.
In the severe stages of chronic renal failure, the GFR is dramatically decreased and this leads to the following signs and symptoms of chronic kidney disease: increased BUN and creatinine levels, hypervolemia, electrolyte imbalances (hyperkalemia, hyperphosphatemia, hypocalcemia, hypermagnesemia, oliguira or anuria, metabolic acidosis, and proteinuria/hematuria).
In addition, the kidneys are no longer producing hormones, such as EPO (erythopoietin) or renin. This leads to anemia and more hypertension. Furthermore, the kidneys are failing to activate vitamin, which leads to more hypocalcemia.
Treatment for chronic renal failure includes dialysis, medications, and kidney transplant.
Nursing interventions for chronic renal failure include diet implementation, monitoring fluid status, vital signs, administering medications per physician order, monitoring electrolyte levels etc.
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Sarah thank you for your ability to break down complex concepts in a way that makes sense. You have been an absolute blessing and when I️ think there is no hope of grasping material I️ see an upload from your channel. I️ know it takes devotion to make and edit these videos. I️ cannot thank you enough. I️ tell all my nursing school friends about you, like you are my personal tutor. Sending you big hugs from Rhode Island!
Hello Tracy, I just wanted to say thank you for the super kind comment you left. It means so much to me to hear these videos are helping nursing students. I'm so happy you like how I present the material. I'm devoted to you all because I know how tough the journey is and we nurses need you all to graduate and come help us take care of patients. Thank you for sharing my videos with your friends. I'm honored to be your personal tutor ;-) Also, it's great to have a viewer from RI!!!
I second this reply. I stumbled onto these videos by chance and am so grateful to have these as a reference. I completely understand these conditions in a way that I never considered before and have also shared with my nursing classmates. Thank you Sarah!
I was honestly thinking and feeling the exact same thing! The quizzes are also super helpful in helping me gauge just how much I understand and see where my understanding is still lacking. Truly, thank you so much, Sarah, for your knowledge and all the effort you put into making such comprehensive videos! You help me feel motivated to push through this nursing journey when I feel more confident in my knowledge and understanding. Thank you, thank you, thank you! Sending love and gratitude from Canada!
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Hi Nurse Sarah! I just want to say thank you so much for your videos. Your videos are one of the reasons I passed the NCLEX-RN. Please don’t get tired of teaching and using your talent. Again thank you❤️☺️and may God bless you and your family always🙏🙏🙏
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This is easily the best channel if you're struggling with Nursing School. Thank you, Sara, for breaking down these concepts!!!
Taking detailed notes; your knowledge base on the interconnectedness of kidney function and failure, and the quality of your board notes, is amazing. Thank you for sharing it with us and making it easier to grasp!
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I’ve been a nurse for many years now but it’s good to watch your videos as a pathophysiology refresher. Thank you
Passed My Nclex with the help of your videos! Thank you
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Yay!! That was perfect timing! I hope your exam goes well today. Prayers said for you all who are having to take HESI. I know exactly what you are going through. My school required the same thing but it was an 850. Thank you for watching my videos and for this comment :)
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THANK YOU MISS🙏
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Thank you so much for breaking this down to my understanding. As a second year nursing student, this has helped me to understand CKD CKD pathophysiology and nursing interventions. Thank you and God bless you.
She has a natural gift to teach. She teaches so you understand so it's remembered, where as some teach by memory and we forgot everything.
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Just had a pt in clinical with ESRD on peritoneal dialysis and this really helped me understand what was going on. Thank you 🙏
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Good
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You're most welcome! Thank you for watching my videos. That is so awesome you're entering your 3rd semester. My videos will be right here to help you through your journey! Thank you again for this kind comment.
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Great video! Very informative I have CKD and I love the fact the we are educating people on this disease. Keep up the good work 😊
you are definitely getting me through med surg 2! thank you!! I am utilizing all of your videos, you are amazing!
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I graduated woth my BSN in 2020. I'm now an acute dialysis nurse! I missed you Sarah! 😂
My brother is in end stage. Im trying to understand the medical side of it. This information is priceless. Thank you for taking your time to explain it to anyone desperate to learn and help their loved ones. Amazing.
Same. My father is on end stage too😭
Thank you! I know this video was intended to help students study, but I found it very helpful to understand my husband’s condition. Doctors have encouraged us to understand what is going on, and your video helped me to learn some terms I need to be familiar with and to understand what the doctors say, what the nurses are doing, and what the labs mean.
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Best Nursing lecturer ever :')
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I am a patient, not a student, but I found this video to be extremely informative. Thank you so very much for all the effort you put into this presentation!
I learned alot from this and appreciate your teaching style. Thank you!!
Thank You so much for this information! I’m having a test on Thursday for Renal Failure and I’m confident that I got it because of this video and the one on Acute Kidney Injury! ❤️
I just discovered your channel and I cannot be more grateful 💕 I’m currently in school and you made everything so clear and easy to understand! I LOVE YOU! Thank you so much 💕
I love the simplicity of your explanation madam and you have really added meaning to my understanding as always and this is why I love watching your videos before reading complicated stuff as a medical student. Thank you 🙏🏻 😊
I’m just an Aunt looking for info. For my End Stage 44yo Nephew.
Thank you
It’s was very informative & clear to understand.
Have an exam in 2 days and my books is so complicated that after watching this it explains everything so well that I understand a whole chapter in 30 minutes as opposed to like 2 hours of writing!
These videoes are truly great. Thank you Sarah fordevoting your time to explaining these conditionsclearly and making it so easy to understand. thank you
Mmmm Madam u really help alot, I usually comprehend very much when u explain.
Pliz continue helping the world my the Good Lord be u.....🙏🙏🙏🙏🙏
Hello, I want start by saying May God Almighty bless you and your family for these videos. Thank you so much. I actually understand what I am studying because of your videos. The way you break it down and make it easy to understand and remember I believe no text book or teacher that I know of has been able to do. So THANK YOU very much.
One request, could you please make a video on Polycystic Kidney Disease and also videos on eyes and ears disorders? Thank you!
You are simply AMAZING Sarah. Thank you for these wonderful and easy to understand videos.
Thank you so much!!! My final is tomorrow and my professor added this section to the test. I hope this helps!
Am so thrilled with the video, well broken down to understand the complexity of renal function. It has really helped me. Thank you so much SARAH
I wish all my instructors explained things like you do!!! Thank you so much
Thank you so much Sarah!! You are such an amazing, gifted person in teaching to all of us!!! Thank you for all that you do.
Thank you very much, just rotating in renal unit and this has just made everything clear. God bless you 😇
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Its the day before my patho exam and I have this unit to complete and I was so confused until you explained it. I'm studying off this video now!! thanks so much
Hi Nurse Sarah, thank you so much for sharing this great video, so helpful and very informative. Good lecture!
Thank you Sarah.. I got better grades after I started watching your videos. You are a blessing!
🤩
You’re a blessings to nursing education. Thanks for all your videos.
I wanted to say thank you for all your amazing videos. Your vidoes are great with great rationales. I am so blessed with these videos. They are helping me understand the concept to the core. Thanks a lot and please keep making more videos and hope these videos can help many more in need during this time of distance learning due to COVID-19.
Good lecture for a old RN with chronic kidney disease late stage. Thanks!
❤❤❤❤Godbless your knowledge ms.sarah thanks for sharing 😮😮😮.
This is Amazing! You literally broke down the whole concept explaining each individual concepts in clear detail! Thank you so so much. You have earned yourself an extra subscriber 💙
amazing videos, you are a true blessing
for all nursing students..
thank you very much nurse sarah! you helped me a lot. everday i watch your videos and everyday i learn a lot from you. God bless you always!
Thank you for these lectures. This is what I'm looking for, since I'm a working RN in my country.
Thank you Sarah for breaking down these concepts in a way that is easier to understand. God bless. Hugs,,,
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It's a blessing to find you... God bless you!!!
I used to watch all of your videos before taking my NCLEX exam..and thanks I passed my exam
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You make this easy to understand. Thank you!
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You make it more simpler than my teachers wish you were one of them....enjoyed the session.!
Thank you Sarah for this excellent video. Also did want to mention that Type 2 Diabetes is usually associated with adverse outcomes in all stages of kidney disease. Lower fasting plasma glucose and /or glycated hemoglobin levels are also associated with lower risk of mortality and also reduced cardiovascular death in patients with severe to moderate renal impairment.
This video and Acute Chronic Renal Failure helped me learn the concepts really well and I am able to make better connections as am going through my notes. Thank you so much, I love your quizzes as well.
Well said, totally agree!!
M Indian Sarah I love u and ur vedios
U are doing lots for the us.... God bless you nd ur kids.
Hi. Dr.. You are so a very. Competent teacher. Thank. You million for the fascinating lessons about different topics. You are so fast,that sometimes I can not follow the whole lesson. However there is No matter. I am really pleased with all your Lesons
. Thank you again and again.
Dr rebbah from Algeria.
Thank you so much for this video!! It has really made me to understand renal failure and I’m confidence enough that I be shining during my presentation of this condition! Thank you once again
hello mam
thank you so much for explaining this complicated topic like ckd,hyperphosphatemia,hyperkalemia in a very simple and technical way.
and now from today onwards i will go through your all presentation of any topics on any subjects.
thanks again.
Thanks for your help and information.,may.God bless you and your family.