PEDS 602 Renal Presentation_2020 | PEDS602 Renal Presentation_UPDATED

RENAL PRESENTATION Presented by: Melissa ParodiDisclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E OBJECTIVES Ò Comprehend General Physiology of Renal Function. Ò Discuss and differentiate various modalities continuous renal replacement therapy. Ò Attain knowledge on components and functionality of the NxStage device. Ò Perform basic skills of operation, monitoring, alarm troubleshooting, common procedures, documentation and termination of therapy. Ò Demonstrate ability to manage continuous renal replacement therapy on a simulated patient. Ò Recognizes the need for maintaining goal ultrafiltration rate for management of fluid and electrolytes. Ò Case Scenario Review for Strict I/O’s and CRRT calculation and documentation.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E WHAT DOES THE KIDNEY DO?Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E HERE’S YOUR ANSWER….. Ò Vital Functions of the Kidneys: 1. Maintain fluid and acid-base balance as well as electrolyte concentration. 2. Detoxify blood & eliminating wastes. 3. Regulating blood pressure. 4. Aiding in RBC production. 5. Regulate Vitamin D & Ca+ Formation. Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press. Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E FLUID AND ELECTROLYTE BALANCE Ò Regulates amount and make-up of fluids in and out of cells. Ò Maintain volume and composition of extra & intracellular fluid. Ò Continuously exchanging H20 & solutes: Ð Ex. Na+, K+, Cl-, HCO3, Sulfate & PO4 Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press. Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E REGULATES ACID-BASE BALANCE Ò Secreting Hydrogen Ions Ò Reabsorb Na+ & HCO3 ions Ò Acidify phosphate salts Ò Produce NH3 Ò This keeps the blood at a pH of 7.35 – 7.45. Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press. Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E WASTE COLLECTION Ò Done in 3 step process 1. Glomerular filtration Ð Filters blood that flows through kidney’s blood vessels (A.K.A. Glomeruli) 2. Tubular reabsorption Ð Reabsorbs filtered fluid in surrounding blood vessels 3. Tubular secretion Ð Filtered substance (A.K.A. glomerular filtrate) pass through the tubules to the collecting tubules and ducts. Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press. Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E OK… SO WHAT HAPPENS WHEN THEY’RE COMPROMISED?Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E THERE ARE A NUMBER OF REASONS…. Ò Chronic Renal Failure Ò Acute Tubular Necrosis Ò Benign Prostatic Hyperplasia Ò Prostatitis Ò Renal Calculi (A.K.A. Kidney Stones)Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E ACUTE KIDNEY INJURY: SOME FACTS Ò 5-20% of critically ill patients- - -