2. Presented By: Alamares, Faye Russeth A. Dela Cruz, Alyssa Mae C. Enriquez, Wilson T. Idris, Paulo C. Jairulla, Zharima A. Larracochea, Georvi P. Saclolo, Kenneth Ivan P. Serabani, Dharmina S.
4. Uremia a clinical syndrome associated with fluid, electrolyte, and hormone imbalances and metabolic abnormalities, which develop in parallel with deterioration of renal function. The term uremia, literally means urine in the blood.
5. rank as the number 10 killer in the Philippines causing death to about 7,000 Filipinos every year. The population of Filipinos aged 20 years and above in 2005 was 46,627,172. A prevalence of 2.6% means that 1,212,306 adult Filipinos have CKD.
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8. Kidneys release three important hormones: Erythropoietin Renin The active form of vitamin D.
9. Urine is formed through three processes that occur in the kidney: Ultrafiltration Reabsorption Secretion
11. UREMIA Is a clinical syndrome associated with fluid, electrolyte, and hormone imbalances and metabolic abnormalities, which develop in parallel with deterioration of renal function. Uremia more commonly develops with chronic renal failure (CRF) or the later stages of chronickidney disease (CKD) Uremia usually develops only after the creatinine clearance falls to less than 10 mL/min, although some patients may be symptomatic at higher clearance levels, especially if renal failure acutely develops.
12. In Uremia stage, nitrogen metabolites and other toxic material cannot be discharged out of body, so they deposited and cause disorder of water, electrolyte and acid-base balance and pathological changes of many organs and systems. Digestive system Pathological changes to heart and lungs Hemopoietic system Skeletal system Skin The nervous system
16. APPEARANCE Grooming: poor Attire: Hospital gown Personal Hygiene: poor hygiene Gait: Slow in movement with assistance Posture: Client was on bed General Body Built: Small Build
30. Location of Pain: Chest Frequency: when the patient fail to use her oxygen inhalation. Intensity- Pain Scale (0 -10): 6 Onset: (When did your pain started?): 6 months ago when she was admitted with the same reason. Alleviating Factors:_nasal inhalation Precipitating Factors:she uses the nasal canula again._
49. NURSING CARE PLANS Excess fluid volume related to decreased urine output. Anxiety related to present condition (Chronic Kidney Disease) Imbalanced Nutrition: Less then body requirements related to dietary restrictions. Fatigue related to long hours of hemodialysis procedure Knowledge deficit R/T cognitive limitation of the disease process and its treatment.
50. DRUG STUDY Verapamil (Antianginal) For angina pectoris and hypertension 2. Amlodipine ( Antianginal) For chronic stable angina and hypertension
51. 3.Clyndamycin ( Anti-infectives) For infections caused by streptococci, pneumococci, and staphylococci organisms. 4. Metaclopromide (Antiemetics) For prevention or reduction of nausea and vomiting.
52. 5. Furosemide (Diuretics) For edema and hypertension. 6. Clonidine (Antihypertensive) For essential and renal hypertension.
53. 7. Paracetamol (Nonopiod analgesics and antipyretics) For mild pain or fever. 8. Calcium Carbonate (Antacids, adsorbents and antiflatulents) For antacid and calcium supplement.
54. 9. Sodium bicarbonate (Acidifiers and alkalinizers) For metabolic acidosis, systemic or urinary alkalization, and antacid. 10. Erythropoeitin (Immunomodulation drugs) For anemia from reduced production of erythropoeitin caused by enstagerenal disease.
