Chronic Renal Failure

chronic renal failure is
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Terms in this set (15)
chronic renal failure is
a progressive, irreversible deterioration of renal function
What race is the most likely to develop ESRD?
African Americans
Three phases
-Diminished renal reserves
-Renal insufficiency
-End stage renal disease (ESRD)
Stage 1
diminished renal reserve
GFR: 90 or above
Stage 2
renal insufficiency
GFR 60-89
Stage 3
renal failure
Stage 4
azotemia
GFR 15 - 29
Stage 5
ESRD
GFR < 15
Patho
decreased renal reserve leads to renal insufficiency which leads to ESRD
Patho ctd
-metabolic acidosis
-decreased GFR
-final stage transplant or dialysis
Lab findings•Anemia-Low H/H •Elevated BUN, serum creatinine •Decreased GFR •Elevated serum phosphorus •Decreased serum calcium •Decreased albumin •Low blood pHhemodialysis•removes metabolic waste products across a semipermeable membrane via external membraneperitoneal dialysis-removes waste through pts own membraneDialysis can be given via-graft -fistula -vas cath central lineWhat are you feeling for over a fistula?thrill