Randi M. Haupert
 Kidneys function is 10 percent or less.
 Final stage of chronic kidney disease (CKD).
 CKD is divided into 5 stages
 ...
 Controls fluid balance
 Maintain homeostasis:
 Regulates blood pressure and electrolytes,
maintenance of acid-base bal...
 Most common
 Diabetes Mellitus (46%)
 High blood pressure (27.2%)
 Other Causes
 Congenital abnormalities
 Medicati...
 Excessive thirst
 Fluid retention
 Fatigue
 Drowsiness
 Confusion
 Headaches
 Difficulty concentrating
 Weight lo...
 Dialysis and kidney transplants are the only treatments for
ESRD
 Dialysis
 Too much waste in the body
 2 Types
 Hem...
http://bigdandme.wordpress.com/2010/02/
http://www.riversideonline.com/health_reference/Bladder-Kidney/DA00078.cfm
 Changes in diet
 Low – protein diet
 Limit:
 Fluids
 Salt
 Potassium
 Phosphorous
 Electrolytes
 Other treatment...
 Creatinine (10-12 cc/minute level)
 BUN (Blood urea nitrogen)
 Potassium
 Sodium
 Albumin
 Phosphorous
 Calcium
 ...
 45% are diabetic and inactive
 Low functioning capacity
 Average peak oxygen consumption is 20
ml∙kg-¹∙min-¹
 Very li...
 Goal of exercise: Improve or maintain
exercise capacity
 Challenged by daily tasks of living
 Resistance and aerobic e...
 Reduced peak cardiac output
 Reduced oxygen-carrying capacity due to
anemia
 Muscle fatigue
 Unable to recover from e...
 End stage kidney disease. (2009, August 12). Retrieved from
http://www.nlm.nih.gov/medlineplus/ency/article/000500.
 En...
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488 diabetic power point

  1. 1. Randi M. Haupert
  2. 2.  Kidneys function is 10 percent or less.  Final stage of chronic kidney disease (CKD).  CKD is divided into 5 stages  Stage 5  GFR (glomerular filtration rate) is less than 60 ml/min for more than 3 months  20 million Americans have diagnosed CKD and 20 million more are at an increased risk  Permanent condition  Patient is unable to continue living without dialysis or a kidney transplant.
  3. 3.  Controls fluid balance  Maintain homeostasis:  Regulates blood pressure and electrolytes, maintenance of acid-base balance  Production of hormones  Calcitriol, renin, erythropoietin  Production of red blood cells  Reabsorption of water, glucose, and amino acids  Removes waste from blood  Removes waste via urine  Excretes waste such as urea and ammonium
  4. 4.  Most common  Diabetes Mellitus (46%)  High blood pressure (27.2%)  Other Causes  Congenital abnormalities  Medication reactions  Injuries  Trauma to kidneys  Major loss of blood
  5. 5.  Excessive thirst  Fluid retention  Fatigue  Drowsiness  Confusion  Headaches  Difficulty concentrating  Weight loss/Loss of appetite  Muscle twitching  Bruise easily  Edema in hands and feet  Numbness in extremities  Nose bleeds  Bone pain  Nausea/Vomiting
  6. 6.  Dialysis and kidney transplants are the only treatments for ESRD  Dialysis  Too much waste in the body  2 Types  Hemodialysis – Blood circulates through a machine  Enters and exits the body through a “gortex graft” or “cimino fistula”  Peritoneal dialysis – Places fluid in stomach to remove waste via catheter  Lab test results  Severity of symptoms  Patient readiness  Medications  ACE inhibitors  Angiotensin receptor blocker  High blood pressure medication
  7. 7. http://bigdandme.wordpress.com/2010/02/ http://www.riversideonline.com/health_reference/Bladder-Kidney/DA00078.cfm
  8. 8.  Changes in diet  Low – protein diet  Limit:  Fluids  Salt  Potassium  Phosphorous  Electrolytes  Other treatments  Anemia  Increase iron intake  Phosphate binders  Prohibit elevation of phosphorous levels  Increase calcium and vitamin D
  9. 9.  Creatinine (10-12 cc/minute level)  BUN (Blood urea nitrogen)  Potassium  Sodium  Albumin  Phosphorous  Calcium  Cholesterol  Magnesium  Complete blood count (CBC)  Electrolytes * Labs must be drawn regularly if patient is prescribed dialysis
  10. 10.  45% are diabetic and inactive  Low functioning capacity  Average peak oxygen consumption is 20 ml∙kg-¹∙min-¹  Very light intensity  Increased leg fatigue
  11. 11.  Goal of exercise: Improve or maintain exercise capacity  Challenged by daily tasks of living  Resistance and aerobic exercises  Improves blood pressure control
  12. 12.  Reduced peak cardiac output  Reduced oxygen-carrying capacity due to anemia  Muscle fatigue  Unable to recover from exercise as quickly
  13. 13.  End stage kidney disease. (2009, August 12). Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/000500.  End stage renal disease (esrd). (2008, February 11). Retrieved from http://www.kidneyfund.org/kidney-health/kidney- failure/end-stage-renal-disease.html.  Krasnoff, J., & Painter, P. (2009). Acsm;s exercise management for persons with chronic diseases and disabilities. Champaign, IL: Human Kinetics.  Lippincott, Williams, & Wilkins. (2010). Acsm's guidelines for exercise testing and prescription. Baltimore, MD: Wolters Kluwer Health.  Shiel, W. (2006, July 19). Dialysis. Retrieved from http://www.medicinenet.com/dialysis/article.htm.
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