Pathophysiologic changes in ESRD

Nurses General Nursing

Published

HELP!!!!

I need info FAST on pathophysiological changes in patients with ESRD!!! I'm working on revisions for a CE article and I need to do a scenario that sites pathophysiological changes in the disease I chose to focus on, which is ESRD. I have searched all over the net.. but not coming up with anything solid I can use... HELP!!!!!!!!

God bless and THANK YOU!

connie

p.s. The revisions are due AUGUST 15th!! yeah yeah.. i know.. procrastination never gets ya ANYwhere... [EVIL]'cept to a deadline faster!! [/EVIL]

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i would love to help you connie.

but i don't understand not yielding sufficient results on the web.

i just googled "esrd" and came up with over a million hits.

perhaps i'm missing something?

there's a wealth of information out there.

maybe if you were more specific?

leslie

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Hi leslie

Yep.. I got over a million hits too. But nothing that was what I needed. I need simple stuff.. Pathophysiologic changes.. these hits I got; after reading several dozen... went off on something else.. I need specific patho... changes in ESRD... like what happens when the person is in the last last stages... dying.. when death is a few days or hours away.. so as to inform the nurse/reader what to expect and why it is happening... hope i haven't further confused the subject..

THANKS for be willing to help.

connie

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Specializes in NICU.

Well once the family has made the decision to stop dialysis it could be a few days or a month before the patients passes. I've seen a pt die 2 days after stopping dialysis and I've seen a patient die 6 weeks after stopping. Usually the patient begins to retain fluid. They have generalized edema. Their lungs fill up with fluid. They become very disoriented, may hallucinate, or may just lay there unresponsive. It all depends on how much renal function they have left as to when they will pass after dialysis is stopped.

Since they are no longer going to dialysis to take off the extra fluid and toxins, it doesn't take long to see the effects.

Hope this helps... i don't really know what else to tell you.

Tigergalle

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Hi

and thanks for replying. I do know about fluid rentention and such.. I'm looking for more specific stuff.. I THOUGHT I had it covered in my first morificecript, but in their comments they asked that I cover Pathophysiologic changes.. thought I did.. go figure.. I went thru the changes/inability to to eat/drink and how family would worry/insist that the patient be fed/hydrated. And other various stages.. maybe they missed that??? :) ANYways.. if anyone out there knows what else they could possibly want.. HELP!!!!! :monkeydance:

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Hey guys..

just to let you know.. I've found what I need!!!

It's at http://www.endoflife.northwestern.edu/last_hours_of_living/part_one.cfm just in case anyone is interested.. It's FANTASTIC!! I decided to do a general search on pathophysilogic changes in the dying patient.. only took a couple of minutes that way!!

THANKS Again and GOD BLESS everyone

connie:idea::balloons:

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