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Dka Kidney Failure

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Acute kidney injury (also called acute renal failure) nursing NCLEX review lecture on the nursing management, stages, pathophysiology, and causes (prerenal, intrarenal, postrenal). What is Acute Kidney Injury? It is the SUDDEN decrease in renal function that leads to the build up of waste in the blood, fluid overload, and electrolyte imbalances. What are the causes of Acute Kidney Injury? There are three causes, which are based on location. The first is known as prerenal injury and this is an issue with the perfusion to the kidneys that leads to decreased renal function. A second cause is known as intrarenal injury, and this is due to damage to the nephrons of the kidney. Lastly, postrenal injury is due to a blockage located in the urinary tract after the kidney that can extend to the urethra. This is causing the back flow of urine, which increases the pressure and waste in the kidneys. Stages of Acute Kidney Injury: There are four stage of acute kidney injury, which include initiation, oliguric, diuresis, and recovery stage. The initiation stage starts when a cause creates an injury to the kidney and then signs and symptoms start to appear. This leads to the oliguric stages. The patient will void less than 400 mL/day of urine during this stage and will experience increased BUN/creatinine levels, azotemia, hyperkalemia, hypervolemia, increase phosphate and decreased calcium levels along with metabolic acidosis. After this stage the patient can progress to the diuresis stage and this is where the patient will void 3-6 Liters of urine per day due to osmotic diuresis. The patient is at risk for hypokalemia, dehydration, and hypovolemia. The last stage is recovery and the patient's glomerular filtration rate has returned to normal. Therefore, the kidneys are able to maintain normal BUN and creatinine levels, electrolyte, and water levels. Quiz on Acute Kidney Injury: http://www.registerednursern.com/acut... Notes: http://www.registerednursern.com/acut... More NCLEX Renal Lectures: https://www.youtube.com/playlist?list... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... All of our videos in a playlist: https://www.youtube.com/watch?v=pAhHx... Popular Playlists: NCLEX Reviews: https://www.youtube.com/playlist?list... Fluid & Electrolytes: https://www.youtube.com/playlist?list... Nursing Skills: https://www.youtube.com/playlist?list... Nursing School Study Tips: https://www.youtube.com/playlist?list... Nursing School Tips & Questions" https://www.youtube.com/playlist?list... Teaching Tutorials: https://www.youtube.com/playlist?list... Types of Nursing Specialties: https://www.youtube.com/playlist?list... Healthcare Salary Information: https://www.youtube.com/playlist?list... New Nurse Tips: https://www.youtube.com/playlist?list... Nursing Career Help: https://www.youtube.com/playlist?list... EKG Teaching Tutorials: https://www.youtube.com/playlist?list... Dosage & Calculations for Nurses: https://www.youtube.com/playlist?list... Diabetes Health Managment: https://www.youtube.com/playlist?list...

Incidence And Characteristics Of Acute Kidney Injury In Severe Diabetic Ketoacidosis

Abstract Acute kidney injury is a classical complication of diabetic ketoacidosis. However, to the best of our knowledge, no study has reported the incidence and characteristics of acute kidney injury since the consensus definition was issued. Retrospective study of all cases of severe diabetic ketoacidosis hospitalised consecutively in a medical surgical tertiary ICU during 10 years. Patients were dichotomised in with AKI and without AKI on admission according to the RIFLE classification. Clinical and biological parameters were compared in these populations. Risk factors of presenting AKI on admission were searched for. Results Ninety-four patients were included in the study. According to the RIFLE criteria, 47 patients (50%) presented acute kidney injury on admission; most of them were in the risk class (51%). At 12 and 24 hours, the percentage of AKI patients decreased to 26% and 27% respectively. During the first 24 hours, 3 patients needed renal replacement therapy. Acute renal failure on admission was associated with a more advanced age, SAPS 2 and more severe biological impairments. Treatments were not different between groups except for insulin infusion. Logistic regression Continue reading >>

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  1. Thomas

    I was also looking for a thread on expired test strips. I only make an assumption you have covered this but didn’t see a thread. Is my search flawed or have you really not explored expired test strips? (I assume I just did a bad search.) Or is it possible this one was too obvious to even have its own thread?

  2. Chris

    My guess is that they works just fine. But it is just an opinion. We haven’t had any expire, so unless someone has some expired ones laying around…

  3. Eric

    Expired Dexcom sensors work fine!
    I was also looking for a thread on expired test strips. I only make an assumption you have covered this but didn’t see a thread. Is my search flawed or have you really not explored expired test strips? (I assume I just did a bad search.) Or is it possible this one was too obvious to even have its own thread?
    I have never used an expired strip…

    Do you know why? I test about 20 times a day. How would a strip ever survive in my house long enough to expire!

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What Is Renal Failure: In this video, We will share information about what is renal failure - how to identify renal failure - symptoms of renal failure. Subscribe to our channel for more videos. Watch: (https://www.youtube.com/watch?v=ivQE7...) How to Identify Renal Failure Renal failure, also known as kidney failure, is a condition that can take two different forms: acute, when it presents itself very suddenly, and chronic, when it develops slowly over at least three months. Acute kidney failure has the potential to lead to chronic renal failure. During both types of renal failure your kidneys arent able to perform the necessary functions your body needs to stay healthy. Despite this similarity between types, the causes, symptoms, and treatments for the two kinds of renal failure vary significantly. Learning about the symptoms and causes of this disease and being able to differentiate between the two forms can be beneficial if you or a loved one have been diagnosed with renal failure. Thanks for watching what is renal failure - how to identify renal failure - symptoms of renal failure video and don't forget to like, comment and share. Related Searches: acute renal failure dr najeeb, acute renal failure explained clearly, acute renal failure kaplan, acute renal failure khan academy, acute renal failure lecture, acute renal failure management, acute renal failure medcram, acute renal failure nursing, acute renal failure treatment, acute renal failure usmle, chronic renal failure explained clearly, chronic renal failure khan academy, chronic renal failure lecture, chronic renal failure nursing, chronic renal failure treatment, chronic renal failure usmle, end stage renal failure, michael linares renal failure, pathophysiology of renal failure, renal failure, renal failure and abgs, renal failure and bone health, renal failure and dialysis, renal failure and electrolyte imbalances, renal failure and hyperkalemia, renal failure and hypocalcemia, renal failure and massage, renal failure and phosphorus, renal failure anemia, renal failure animation, renal failure bolin, renal failure calcium, renal failure care plan, renal failure case study presentation, renal failure cat, renal failure catheter, renal failure causes, renal failure causes hyperkalemia, renal failure chronic, renal failure concept map, renal failure cure, renal failure definition, renal failure diagnosis, renal failure diet, renal failure diet for humans, renal failure diet therapy, renal failure disease, renal failure dog, renal failure dr najeeb, renal failure due to ace inhibitor, renal failure electrolyte imbalance, renal failure examination, renal failure explained, renal failure fluid retention, renal failure for dummies, renal failure for nursing students, renal failure from ace inhibitor, renal failure funny, renal failure grinding, renal failure home remedy, renal failure homeopathic treatment, renal failure humans, renal failure hyperkalemia pathophysiology, renal failure icd 10, renal failure in cats, renal failure in children, renal failure in dogs, renal failure in hindi, renal failure in malayalam, renal failure in neonates, renal failure in sepsis, renal failure in the emergency department, renal failure in urdu, renal failure khan, renal failure khan academy, renal failure lab values, renal failure lecture, renal failure loss of appetite, renal failure made easy, renal failure malayalam, renal failure management, renal failure meaning in urdu, renal failure medcram, renal failure medications, renal failure metabolic acidosis, renal failure natural remedies, renal failure natural treatment, renal failure nclex, renal failure nclex questions, renal failure nucleus, renal failure nursing, renal failure nursing care plan, renal failure on dialysis, renal failure osce station, renal failure osmosis, renal failure pathology, renal failure pathophysiology, renal failure pathophysiology animation, renal failure patient, renal failure pbds, renal failure pharmacology, renal failure phases, renal failure physiology, renal failure prerenal intrarenal postrenal, renal failure pronunciation, renal failure quiz, renal failure registered nurse rn, renal failure shaking, renal failure skin itching, renal failure stage 3, renal failure stages, renal failure stories, renal failure support groups, renal failure swollen feet, renal failure symptoms, renal failure symptoms in cats, renal failure transplant, renal failure treatment, renal failure treatment in ayurveda, renal failure treatment in homeopathy, renal failure ultrasound, renal failure urine, renal failure usmle, renal failure vascular calcification, renal failure video, renal failure volume overload, renal failure vs ckd, renal failure youtube, renal kidney failure, stages of renal failure, symptoms of renal failure, types of renal failure, what is renal failure

Severe Acute Renal Failure In A Patient With Diabetic Ketoacidosis.

Abstract Acute renal failure (ARF) is a rare but potentially fatal complication of diabetic ketoacidosis (DKA). Early recognition and aggressive treatment of ARF during DKA may im-prove the prognosis of these patients. We present a case report of a 12 year old female admitted to the hospital with severe DKA as the 1s t manifestation of her diabetes mellitus. She presented with severe metabolic acidosis, hypophosphatemia, and oliguric ARF. In addition, rhabdomyolysis was noted during the course of DKA which probably contributed to the ARF. Management of DKA and renal replacement therapy resulted in quick recovery of renal function. We suggest that early initiation of renal replacement therapy for patients with DKA developing ARF may improve the potentially poor outcome of patients with ARF associated with DKA. Continue reading >>

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  1. justanotherketoer

    So I've started doing intermittent fasting combined with a cardio(5k) first thing in the morning, and I feel like it's doing wonders for me. I would recommend this to anyone who is close to their goal weight and/or has trouble losing weight anymore.

  2. [deleted]

    I agree-- I just would not do it during a shark week. I almost stabbed my fiance.

  3. melifer78

    Lol!

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Learn How To Cure Kidney Disease & Improve Kidney Function Naturally in 6 - 8 Weeks Without Dialysis. 100% Guaranteed By Thousands People From Worldwide. And Approved by Doctors and Nephrologists. CLICK HERE http://www.KidneyDiseaseNaturalTreatm... ****************************************************** Kidney disease may evolve on its own due to damage to the structures of the kidneys, polycystic kidney disease, severe kidney infection or it may be an outcome of some other diseases such as diabetes, high blood pressure, chronic illnesses, autoimmune disorders, etc. Oftentimes, kidney disease may originate from external factors such as drugs, industrial toxins and congenital defects. Malfunctioning of other organs such as heart or liver may also affect the function of kidneys and cause kidney disease in the long run. Here are some of the most commonly seen symptoms of kidney disease : * Urination Disorders : Any disorder related to the way the kidney functions usually shows up in the form of malfunction(s) in the urinary system. The patient might feel a constant urge to urinate during nighttime, and may find it difficult to urinate at all, at times. There might occur what is known as hematuria (blood in urine) and the urine may be foamy or bubbly in appearance. Some patients might urinate in greater amounts than usual, while some may urinate less often, and in lesser quantity. Urine may be pale or dark in color. * Fatigue : Fatigue is another common symptom. The reason it occurs is the kidneys' inability to produce erythropoietin. When erythropoietin is not produced in appropriate quantity, it causes a dearth in the number of oxygen carrying red blood cells. This causes the brain and the muscles to suffer quick exhaustion thus, resulting in extreme fatigue. The low count of red blood cells may result in anemia, and this may cause the affected person to feel cold even in a warm weather. Not only this, anemia may further result in bouts of other problems, such as memory loss, trouble with concentration and dizziness. * Itching and Nausea : Kidney disease hinders the function of the organ to remove wastes from the bloodstream. This results in the accumulation of wastes, which becomes evident with the occurrence of severe itching or in some cases, skin rashes. This build up of wastes in the blood may also lead to nausea or vomiting. * Swelling : One of the important functions which the kidneys do for the body, is getting rid of excess fluid. So, it is certain that an unhealthy kidney system becomes inefficient to remove this excess fluid, and allows it to get accumulated. This results in symptoms such as swelling in the legs, feet, face, hands and ankles. * Pain : It is common to hear patients complain against pain in the back, or side where the affected kidney is located. Some kidney diseases might result in the formation of cysts filled with fluid in the kidneys or the liver, and these trigger the pain. * Breathing Problems and Bad Breath : The extra fluid which the kidney is unable to get rid of, can get accumulated in the lungs. This may cause shortness of breath. This may also be caused due to anemia, which may leave the body to starve for enough oxygen. * People often complain against having a metallic taste in mouth, when they are suffering from any kidney disease. They also suffer from bad breath. These occur due to the build up of wastes in the blood. Dialysis is a procedure that is recommended for people affected by kidney failure. The two commonly forms of dialysis are hemodialysis and peritoneal dialysis. In hemodialysis, the process of cleansing of the blood is done by a special filter called a dialyzer. During this kidney dialysis process, the blood is routed through tubes into the dialyzer, which sifts out wastes, extra salt, and extra water. The clean blood is returned to the body through another set of tubes. The other technique called peritoneal dialysis, involves the use of body's own tissue cells within the abdominal cavity to filter the blood. A special fluid is inserted into the abdominal cavity via a plastic tube called a catheter. The fluid moves around the intestines, and the intestinal walls act as a filter between this fluid and the bloodstream. This fluid helps in the removal of waste products and excess water from the body. https://www.youtube.com/watch?v=6XEbW...

Management Of Hyperglycemia In Patients With Type 2 Diabetes And Pre-dialysis Chronic Kidney Disease Or End-stage Renal Disease

The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc. INTRODUCTION — Chronic kidney disease (CKD) is associated with insulin resistance and, in advanced CKD, decreased insulin degradation. The latter can lead to a marked decrease in insulin requirement or even the cessation of insulin therapy in patients with type 2 diabetes. Both of these abnormalities are at least partially reversed with the institution of dialysis. (See "Carbohydrate and insulin metabolism in chronic kidney disease".) Because of the uncertainty in predicting insulin requirements, careful individualized therapy is essential among patients who have advanced CKD or are initiating dialysis. The insulin requirement in any given patient depends upon the net balance between improving tissue sensitivity and restoring normal hepatic insulin metabolism. In addition, among patients on peritoneal dialysis, glucose contained in pe Continue reading >>

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  1. maxell

    I'm wondering how people are coping with the stinky smell of ketosis. I'm on a ketogenic low-carb diet -- usually 60g of net carbs or less. I've tested myself with ketostix several times and I can smell the rancid urine smell when I pee.
    The problem here is that my toilet doesn't seem to flush completely and the ketogenic smell stays in the bathroom and even leaks to the living room. My super came in to my apartment once and asked what that smell is, whether I'm flushing my toilet.
    I've been using Lysol before I leave to air out the bathroom but that doesn't seem to be enough. Now, I'm using air fresheners, fragrance refills, and toilet bowl cleaners but I can still smell it when I enter my apartment. Not as bad but the smell is unmistakable.
    How do people deal with this ketogenic smell? It's good that I'm ketogenic. But I can do without the smell.

  2. skunk

    my daily carbs is less than 20 grams, and the acetone in my breath is so strong, i swear i can knock out flies LOL
    Not just that, my sweat has a strange smell too.
    I guess we just have to get used to it?
    At least now i know how Paleolithic Cavemen used to smell like lol

  3. Matt51

    A healthy person on a ketogenic diet, should only be slightly in ketosis according to the keto-sticks. After a couple weeks in ketosis, you should not be having a problem with bad breath or urine. 60g carbs a day is more than enough one should be out of ketosis.
    My guess is you have some other problem. Taking an activated charcoal tablet a day should help with the odor.

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