Introductions Throughout our body we have many majors organs and each organ has a major function on our body. One of the major organs of the urinary system is the kidneys. We have 2 reddish brown, fist size, bean shaped kidneys in our body located on the anterior side by the lower edge of the ribs on either side of the spinal cord. The major function of your kidneys is to filter the blood to remove waste products, helps balance water, salt, electrolytes and forms urine. There must be an adequate blood supply in order for the kidneys to function properly. When your kidneys suddenly shut down and stop working it’s called acute renal failure. Acute renal failure is the most common leading deaths in hospitals today.
Pathophysiology There are three different stages of acute renal failure; prerenal, intrarenal, and post renal. Prerenal failure is a result from an illness or injury that causes obstruction of blood flow to the kidneys, called hypoperfusion. Hypotension, hypervolemia and inadequate cardiac output are all examples that could cause prerenal failure. According to Lippincott Williams and Wilkins (2009), “prerenal azotemia, excess nitrogenous waste products in the blood, account for 40% to 80% of all cases of acute renal failure” (p. 307). Intrarenal is when there is direct damage to the kidney tissue by either inflammations, drugs, infections or a reduction in the blood supply to the kidney. Post renal is when there is an obstruction of the urine flow. Causes of obstruction could be enlarged prostate gland, kidney stones, bladder tumor or injury. There are four phases of acute renal failure; onset, oliguria, diuresis and recovery. The onset phase can last hours or up to days. The BUN and creatinine levels may start to increas...
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Short / Long Term Nursing Goals As a nurse, our goal is to help the patient get through everyday life without complications. Within the first six months, as a nurse I would want to make sure that the patient would have normal fluid and electrolyte levels. I would also want to make sure that the patients pain will decrease to a level that is tolerated. I would have the patient see a dietitian to help them make a diet plan for adequate nutrition. And most of all I would want to push fluids to increase urine production to make sure the kidneys are perfusing. Goals that would carry out of the six month period would be maintain homeostasis. I would also advise the patient to attend support groups and hear about what others have to say who are or were going through the same illness and maybe they can learn something on how they got through everyday life.
Graduating from nursing school with Bachelor of Science in Nursing is the first step to build the road to get to the other goals. In order to reach the first goal, I need to focus on school, study hard, follow the instructions, explore more about critical care, and practice test taking skills. In order to reach my second goal, I need to have more education and experience. I do need to continue my education for my Masters of Science in Nursing and get more experience by working as a Nurse in a hospital. These ways will help me to be able to attach the dots of information to each other and the ability to understand the patient’s health condition and the needed care plan. For my third goal, I need more experience and practice. I believe most of the communication skill will be made through experience. I need to practice more on using therapeutic communication techniques and interact more with different patients to reach the third goal. I do believe that I can reach all my three goal in about two to three
The kidneys are located in the posterior section of the retroperitoneal cavity and are small, dark red kidney-bean shaped organs in the lower part of the rib cage (Marieb, The Urinary System, 2015). They are undervalued organs considering how essential they are for the body’s ability to maintain homeostasis. The kidneys filter about 120-150 quarts of blood to produce about 1-2 quarts of urine each day (NIH, 2014). Blood initially enters the kidneys through the renal artery. It then flows into the segmental artery before moving into the interlobar artery. From the interlobar artery the filtrate enters the arcuate artery before branching into the cortical radiate artery, which feeds into the afferent arteriole, before passing into the glomerulus where it begins to filter out waste. The filtered waste is then collected by renal tubule. The tubules drain to collecting ducts and all of these components together makes up a small unit called a nephron. Each kidney has over a million nephrons (Marieb, Blood Supply/ Nephrons, 2015). They filter out wastes that run through different body systems via blood; the majority of that waste is nitrogenous wastes, toxins, excess fluids, electrolytes, and drugs. These waste products are eliminated as urine. While waste are removed vital enzymes, hormones, and water are returned
One of the pivotal roles of a nurse is the ability to recognise patient deterioration. The skill of identifying crucial elements of deterioration and acting appropriately is fundamental for positive patient outcome. A vital skill performed primarily by nurses is the act of respiratory rate measurement. This skill is performed in addition to five other physiological parameters, which form a basis for a scoring system. The scoring systems commonly used are known as NEWS (National Early Warning Score) and EWS (Early Warning Score). As many adverse events are preceded by a period of time where by the patient exhibits physiological dysfunction, there is often time to correct abnormalities. This has significance for nurses, as they are responsible
1 in 3 Americans Adults are currently at risk for developing kidney disease. What is acute renal failure, when your kidneys functions all of a sudden stop working and your kidneys are the body’s filter which remove waste products and help balance water, salts and minerals especially electrolytes in your blood when your kidneys stop working you end up building all the products in your body that need to be filtered and eliminated. The pathophysiology of Acute Renal Failure are due to three main causes Pre-renal, Intra-renal, and Post renal. Pre-renal is a sudden drop in blood pressure or interruption of blood flow to the kidneys from illness or sever injury. Intra-renal is direct damage to the kidneys by inflammation of drugs, infection, toxins or reduced blood supply. Post-renal is a sudden obstruction of urine flow because of enlarged prostate bladder tumor, kidney stones, or injury.
It has also developed numerous courses that are intended to provide information and tools that may be needed to approach both significant nursing care and patient care issues. Given the scale of the population suffering with chronic kidney disease and the diversity of backgrounds in which patients are found, this curriculum may be of benefit to nurses caring for nephrology patients in many settings (ANNA, 2015). It supports, promotes among its members, and sponsors nursing research intended to develop evidence-based practice and to advance nursing science (ANNA, 2015). It strives to provide nurses with leadership opportunities, and encourages nurses to seize opportunities to advance and refine their leadership abilities (ANNA, 2015).
The renal disease are common nowadays .The acute renal failure is a medical term means that the kidneys stopped from working and not able to clear toxins from body ,not able to maintained a stable electrolyte balance inside the body and not able to secret the extra fluid as urine outside the body. The renal replacement therapy (RRT) or dialysis has been discovered on 1913 by Able, Rowntree and Turner in London, UK.
Healthy kidneys clean the blood by filtering out extra water and wastes. They also make hormones that keep your bones strong and blood healthy. When both of your kidneys fail, your body holds fluid. Your blood pressure rises. Harmful wastes build up in your body. Your body doesn't make enough red blood cells. When this happens, you need treatment to replace the work of your failed kidneys.
I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and how I will evaluate whether or not I improved in these two areas. Learning Needs / Goals The two areas I feel I need further development in are understanding the scope of practice for an RPN, and Intravenous (IV) therapy. Also, it is important to understand your role as a nurse to ensure the patients’ needs are being met, and to ensure you stay within your scope of practice while providing care.
Nursing involves alleviating suffering by doing a diagnosis and treatment of human response, preventing illness and injury to individuals, populations and communities. The professional growth in the provision of patient care depends on setting goals that contribute to development of the career and skill enhancement as the caregiver. Goals in the nursing profession can be short term or long term. Short term goals are those that are achievable in a short time frame and more immediate as they take one to two years. They help in reaching long term goals.
Before beginning, it is important to have a list of goals and objectives that are formulated by the nurse. The goals for this teaching are the patient will verbalized understanding how to inject insulin and monitor the patient's blood glucose daily at home by her/him-self. Outcome determination is, therefore, a critical skill for successfully intervening with patients.
Kidney Function Introduction and definition of terms: The kidneys are the main organs in the urinary system. They filter waste products out of blood from the renal artery. These are then excreted. Useful solutes are reabsorbed into the blood. They also have a major homeostatic role in the body, and help to control the water content (osmoregulation) and pH of the blood.
In this life, it is important to me to feel like I have a purpose, a reason for being alive. Living a life that inspires others, empowers and encourages people, promotes health and education and allows me to leave my mark, my legacy, is how I measure success. That is my goal in becoming a Family Nurse Practitioner. I have been a nurse for over ten years, having the opportunity to work with patients in a variety of settings through nursing school and afterwards including rehabilitation, medical surgical, pediatrics, labor and delivery, intensive care, and most recently at a day surgery center working with patients before, during and after surgery. As a Family Nurse Practitioner, I see myself teaching and leading people towards successes,
Furthermore, they are involved in the reabsorption of nutrients in the bloodstream and they can regulate the acidity of the blood. Besides the regulation of the fluids and ions, the kidneys are also responsible for the regulation of many different hormones that are involved in homeostasis and metabolism. Because of their importance in the regulation of substances in the body, when the kidneys stop working properly all the body is influenced by that creating disequilibrium in the maintenance of homeostasis and control of all the metabolic functions which can indirectly cause other problems to the body.... ... middle of paper ... ...
My main contribution is to focus on the kidney disease and hypertension population to enhance patient outcomes. After many years of being in this profession, my first long-term goal will be to become a nursing instructor. Like many instructors who do it to pass on their knowledge, I want to be able to give back to the nursing community in some way. It is important for someone, like myself, who is thoroughly invested into nursing education to dedicate time teaching the next generation of nurses. Like the great professors I had in my undergraduate studies, I aspire to be an inspiring educator someday. My second long-term goal is to dedicate volunteering time with Doctors without Borders and as an FNP, where my expertise will be needed. Volunteering with Doctors without Borders has been a lifelong career dream and see myself joining the team in approximately fifteen years. Because I have a small toddler and want to have more children in the future, the best time to join Doctors without Borders will be when my children are independent young adults. Until then, I will make it my duty to educate and improve myself to be best and most reliable FNP for Doctors without
I have always wanted to become a nurse since I was a little girl, seeing both of my grandmothers working in a hospitals and always helping everyone in need. My goals in becoming a nurse is just the basic foundation of just helping people who physically cannot help themselves. I want to be able to shed light in people's lives who are losing it because of their situation. I feel as nurses is the backbone in the hospital. The nurses are there day in and day out with the patients, holding their hands and walking them and their families throughout such a difficult time. Nurses are also their supporting the doctors and all other staff. I’ve found especially in these past few years that I want to spend my life helping others and that's what I can