By Althea Mahon, Karen Jenkins, Lisa Burnapp
Written via skilled educators and renal nurses with huge event of scientific perform the Oxford instruction manual of Renal Nursing is a concise, present and evidence-based consultant to the care of sufferers with renal illness. This sensible and thorough source guarantees that specialist and suitable info is usually available, regardless of the circumstances.
Assisting either practicing and scholar nurses with decision-making talents from the sufferer review degree via to put up procedure/operation nursing care, this instruction manual offers a wealth of valuable details at the aetiology of kidney illness, evaluate and diagnostic procedures, and the to be had treatments.
An fundamental source, it covers taking good care of sufferers with quite a lot of stipulations, together with power kidney affliction and validated renal failure. more information on treating sufferers awaiting, or present process dialysis or transplant surgical procedure, and people requiring finish of existence care can also be incorporated.
Taking a multi-professional method of the care and administration of renal sufferers, the Oxford guide of Renal Nursing is an important device for all renal nurses, learning and practicing, in addition to dieticians, pharmacists, social staff, counsellors and researchers who specialize in renal care.
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Extra resources for Oxford Handbook of Renal Nursing
23 24 CHAPTER 1 Renal pathophysiology Cystic diseases Cystic disease is hereditary, developmental, or acquired. Not all lead to renal impairment. Simple cysts in the kidney increase with age; incidence 750% aged >50yrs. Most patients are asymptomatic; the cyst(s) often an incidental ﬁnding or diagnosed when a cyst ruptures causing ﬂank pain. • Kidney function is not affected; but important to scan simple cysts by computed tomography (CT) if US shows abnormally echoic cysts to rule out malignancy.
Risk factors for lower infections • Uncommon in children or ♂, usually associated with urinary tract abnormality • ♀ 50% likely to have one UTI in lifetime and 3–5% risk of recurrence due to pregnancy, recent or frequent sexual intercourse, use of spermicides that d normal ﬂora in the vagina, poor post-voiding hygiene • Presence of an indwelling urinary catheter (IDC) • Stagnant urine due to obstruction/incomplete bladder emptying • Highly concentrated urine or non-acidic urine • Prostatitis • Bladder, ureteric, or kidney calculi • Diabetics and those on IS.
116–19) • Maintenance treatment usually given for 2–5yrs of oral prednisolone, azathioprine, MMF, or methotrexate. 27 28 CHAPTER 1 Renal pathophysiology Renal vascular disease Hypertensive nephropathy/nephrosclerosis is covered in b Hypertension (see b p. 74). Renal artery stenosis (RAS) Stenosis of one or more renal arteries caused by ﬁbromuscular dysplasia (ﬁbrous thickening of artery wall) or atheroma in artery wall. • d renal blood ﬂow 2° to narrowing of the vessel l stimulates the release of renin and the production of angiotensin II l vasoconstriction, release of aldosterone and sodium retention, i BP, and d glomerular ﬁltration rate (GFR) • i incidence (750% ) with atherosclerosis or peripheral vascular disease (PVD), compared with 77% of people >65yrs of age • i risk of CV event such as myocardial infarction (MI) or cerebrovascular accident (CVA) • Diagnosed using renal US, DPTA (diethylene triamine pentaacetic acid) ± MAG3 (mercaptoacetyltriglycine), Doppler ± angiogram.