Chronic Renal Failure patho

Daytonite, BSN, RN · Jul 21, 2009

this has already been discussed on this forum. see https://allnurses.com/nursing-student-assistance/esrd-pathophysiology-278036.html - esrd pathophysiology

Bree0421 · Jul 21, 2009

is there anyway to condense it im still a bit confused... :crying2: :bugeyes:

8jimi8ICURN · Jul 21, 2009

keep reading it until you get it.

that is the only way you are going to understand it enough to write your care plan. i'm sorry, if i am misreading you, but it seems like you are asking us to do your care plan for you.

Daytonite, BSN, RN · Jul 21, 2009

dear heart. . .that came word for word from a supplemental nursing book that is printed by the people who publish the nursing journals and nursing made easy series of books. the best i can suggest that you do is to:

refresh yourself about the anatomy and physiology of the renal system do you clearly understand how it words when things go normally.
- the nephron is the filtering unit of the kidney where urine is made. each nephron consists of
  - the glomerulus - a clump of capillaries surrounded by a membrane called bowman's capsule
  - a long coiled collecting renal tubule - formed from the bowman's membrane, it catches the filtrate siphoned from the glomerular capillaries and is where reabsorption of the fluid and electrolytes that the body needs takes place and turns the remainder of the filtrate into urine. notable landmarks along the tubule are the proximal tubule, loop of henle and distal tubule.
  - peritubular capillaries - the capillaries that swirl and surround the entire length of the coiled collecting tubule where the chemical reabsorption of fluid and electrolytes is taking place.
  - the collecting duct - this is where the end product, urine, emerges and moves on to the pyramids of the kidney
    - http://www.tiscali.co.uk/reference/encyclopaedia/hutchinson/image_preview.html?image=//media.tiscali.co.uk/images/feeds/hutchinson/ency/c01860.jpg&caption=the
    - http://www.visualhistology.com/visual_histology_atlas/vha_chpt15_the_urinary_system.html - bowman's capsule, renal tubule and collecting duct - peritubular capillaries surrounding the renal tubule are not shown
    - http://www.3dscience.com/3d_images/human_anatomy/urinary/nephron_glomerulus.php
    - http://www.siumed.edu/~dking2/crr/rnguide.htm - here's everything you want to know physiologically about nephrons

think of the nephron as a big factory with an assembly line coming into it (the renal artery). what the factory workers (nephrons) at the separating room (glomerulus) do is separate the blood cells from the serum of the blood and send the serum (filtrate) on for processing (renal tubule) where it is acted upon by an eager cells looking to retrieve back some of what they lost (fluids and electrolytes) at the separating room (peritubular capillaries) so they can continue on their way out the back door of the factory and get the heck out of dodge (the renal vein)!

[*]re-read what i posted on https://allnurses.com/nursing-student-assistance/esrd-pathophysiology-278036.html - esrd pathophysiology because i copied it word-for-word from pathophysiology: a 2-in-1 reference for nurses. you will need to read it slowly and sentence by sentence. try using the critical thinking flow sheet for nursing students to condense and systemize it for you. sometimes slowing down and physically writing out what you are looking at helps to absorb the information.

i struggled with this at one time also. i worked on a medical renal unit where we had patients in various levels of renal failure or had different renal diseases. the way i learned it was by reading about it over and over from a small book i found at the time that explained renal disease. repetition is one way we learn. you are never going to learn this information if someone does it for you. you have already read this information somewhere else at least once, now a second time on an allnurses thread and you seek a third way for it to be explained. you see, the material is complex. your brain needs time and repetition of the material in order to assimilate it all. the kidneys are a complex organ. i cannot think of a way to break it all down any easier.

Bree0421 · Jul 21, 2009

Thank you very much for the help and no I am not asking for my careplan to be done for me:wink2:

Bree0421 · Jul 25, 2009

:bowingpurthank you very much for your help daytonite! :heartbeat i was up very late trying to understand that patho:yawn: but i turned in my first care plan to my med-surg teacher and he said i did excellent work !! :yeah:

and ,8flood8, i did the care plan myself..so maybe i was misread

thank you so much daytonite :nurse:

Daytonite, BSN, RN · Jul 25, 2009

Good for you! Now that you've done it, can you think of any way to make the pathophysiology easier? I couldn't. And I am all about making things easier where possible. Renal failure, I'm afraid, just happens to be one of those diseases that is just difficult to understand.

I have to tell you that renal disease questions were all over my state board exam when I took it back in 1975. It's like renal failure and I were destined to be linked. I worked on a medical renal unit for several years.

Bree0421 · Jul 25, 2009

it is very difficult to understand. i had about 20 tabs in my internet explorer, jumping back and forth trying to write a good patho on the actual care plan !! :bugeyes:again, thank you so much daytonite ! :icon_hug:

Bree0421 · Aug 18, 2009

daytonite,:heartbeat

i would just like to share with you that i received my major care plan back today :nurse: after those hours of trying to write out a good patho...i did it!! i got a 98% on my care plan :yeah:

thank you so very much!!! you are an amazing person :bowingpur:)

Daytonite, BSN, RN · Aug 18, 2009

Congratulations! I'm proud of you! When you understand the pathophysiology it makes a big difference in determining and putting together the nursing diagnoses, doesn't it?

:dancgrp:

Bree0421 · Aug 19, 2009

thank you! and yes! things make more sense now. i mean i am not a pro at renal failure and i can't explain it in huge terms off the top of my head, but i know how it actually works now! i even explained it to a patient today in a way she understood. i was happy. i like working with renal patients!:heartbeat:nurse: