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Chronic Kidney Disease Concept Map

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by

Alain Kyle

on 3 August 2015

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Transcript of Chronic Kidney Disease Concept Map

Decreased
glucose
uptake
CONCEPT MAP
Hyperglycemia
Humulin R 5 “U”
PRN for
Hgt > 150mg/dl SQ
Increase production of insulin by Beta cells
PREDISPOSING FACTORS
• AGE – 64 y.o.
• HEREDITARY

PRECIPITATING FACTORS
• DIETARY INTAKE
• STRESS
• LIFESTYLE

Diminished binding of Insulin to special receptors – insulin resistance
Failure of Beta cells to keep up with increase demand for insulin
Development
of
Type 2 DM
Micardis
Catapres

Poor
management
to DM
Kidney’s filtration system stressed
Hgt > 150 mg/dl
HbA1C – 9.5% (Poor Control)
RBS – 291mg/dl

BUN – 84 mg/dl
Serum creatinine – 9.1 mg/dl
Decreased
renal
blood flow
Leakage of blood proteins
into urine
Hypertrophy of remaining nephrons
Dilute polyuria
U/A – Protein (+++)
Loss of sodium in urine
Hyponatremia – 115.8 mmol/L
NaCl 1 tab TID PO
Dehydration
Inability to concentrate urine
Further loss of nephron function
Loss of
non-excretory
renal
function
Failure
to
convert
inactive forms
of
Calcium
Failure
to
produce erythropoietin
Impaired
insulin
action
Increase
production
of
lipids
Immune
disturbance
Disturbances
in
reproduction
Decrease urine output

Bipedal, periorbital edema
Lasix 1amp now IVTT

Ketobest 1tab TID PO
Fluid
Volume Excess
IJ Catheterization
Hemodialysis
Ionized calcium 1.09
Anemia

RBC – 3.67
Hgb – 11.0
Hct – 28.9

Hgt > 150 mg/dl
RBS – 291mg/dl

HDL – 47 mg/dL
LDL – 242.24 mg/dL

Decrease
calcium
absorption
Delayed wound healing
Tums 500mg 1 tab TID PO
Pallor
Activity
Intolerance
Constipation
Chronic kidney disease
Full transcript