RENAL PRESENTATION
Presented by: Melissa ParodiDisclaimer: NxStage has prepared this tool to assist providers in the development of their staff training
... [Show More] materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
OBJECTIVES
Ò Comprehend General Physiology of Renal Function.
Ò Discuss and differentiate various modalities continuous renal replacement therapy.
Ò Attain knowledge on components and functionality of the NxStage device.
Ò Perform basic skills of operation, monitoring, alarm troubleshooting, common
procedures, documentation and termination of therapy.
Ò Demonstrate ability to manage continuous renal replacement therapy on a
simulated patient.
Ò Recognizes the need for maintaining goal ultrafiltration rate for management of
fluid and electrolytes.
Ò Case Scenario Review for Strict I/O’s and CRRT calculation and documentation.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
WHAT DOES THE KIDNEY DO?Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
HERE’S YOUR ANSWER…..
Ò Vital Functions of the Kidneys:
1. Maintain fluid and acid-base balance as well as
electrolyte concentration.
2. Detoxify blood & eliminating wastes.
3. Regulating blood pressure.
4. Aiding in RBC production.
5. Regulate Vitamin D & Ca+ Formation.
Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press.
Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
FLUID AND ELECTROLYTE BALANCE
Ò Regulates amount and make-up
of fluids in and out of cells.
Ò Maintain volume and
composition of extra &
intracellular fluid.
Ò Continuously exchanging H20 &
solutes:
Ð Ex. Na+, K+, Cl-, HCO3,
Sulfate & PO4
Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press.
Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
REGULATES ACID-BASE BALANCE
Ò Secreting Hydrogen Ions
Ò Reabsorb Na+ & HCO3
ions
Ò Acidify phosphate salts
Ò Produce NH3
Ò This keeps the blood at a
pH of 7.35 – 7.45.
Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press.
Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
WASTE COLLECTION
Ò Done in 3 step process
1. Glomerular filtration
Ð Filters blood that flows
through kidney’s blood
vessels (A.K.A. Glomeruli)
2. Tubular reabsorption
Ð Reabsorbs filtered fluid in
surrounding blood vessels
3. Tubular secretion
Ð Filtered substance (A.K.A.
glomerular filtrate) pass
through the tubules to the
collecting tubules and
ducts.
Wulters Kluwer Health. (2009). Pathophysiology Made Incredibly Easy (4th Ed.) Lippincott, Williams & Wilkins Press.
Ambler, PA.Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
OK… SO WHAT HAPPENS WHEN THEY’RE COMPROMISED?Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
THERE ARE A NUMBER OF REASONS….
Ò Chronic Renal Failure
Ò Acute Tubular Necrosis
Ò Benign Prostatic Hyperplasia
Ò Prostatitis
Ò Renal Calculi (A.K.A. Kidney Stones)Disclaimer: NxStage has prepared this tool to assist providers in the development of their staff training materials. This document is not intended to
replace the NxStage User’s Guide or Cartridge Instructions for Use. NxStage® is a registered trademark of NxStage Medical, Inc. TM0136 Rev. E
ACUTE KIDNEY INJURY: SOME FACTS
Ò 5-20% of critically ill patients [Show Less]