6 Things That Can Damage Your Kidneys (PDF)

ERAIN NOTES Integumentary Bruises → px no longer urinate = 6 THINGS THAT CAN DAMAGE YOUR plenty of toxins in the blood KIDNEYS (VIDEO) (uremia)...

ERAIN NOTES Integumentary Bruises → px no longer urinate = 6 THINGS THAT CAN DAMAGE YOUR plenty of toxins in the blood KIDNEYS (VIDEO) (uremia). Increased toxins will 1. Eating too much red meat (beef, shorten the lifespan of RBC ham, bulalo etc..) Pruritus (itchiness) → because of End product of meat = urea phosphates Overworking the kidneys if Dry skin you eat too much red meat Dry brittle hair Instead of red meat, eat fish Grayish in color or pale Increased protein → more work for kidneys Respiratory 2. Too much salt (fries, salty foods, Increase RR processed food) ○ Kussmaul respiration (rapid Kidneys will be less efficient and deep breathing) is a in filtering compensatory mechanism. Too much salt increases → because patient has blood pressure developed metabolic 3. Overuse of painkillers acidosis → because of 4. Not enough water accumulation of toxins → Water helps the kidney acid base balance are 5. Drinking colored colas controlled by the kidneys Sodas have sugar → sugar Crackles can damage the kidneys Decreased Pa2o (pulse oximetry because it increases the amount of glucose in the Cardiovascular blood. When the kidneys try Potassium is eliminated by the to filter excess glucose, it kidneys, body does not store can strain their tiny blood potassium → hyperkalemia / vessels over time. This stress dysrhythmia can lead to kidney damage, ○ 7.8 meQ/L normal value especially if blood sugar ○ Decreased potassium intake levels are consistently high, (remove potassium) as seen in diabetes. ○ Diuretics (remove potassium) Colored colas are high in ○ Dialysis (remove potassium) phosphorus ○ Insulin → will carry the ○ Sprite, 7up → no potassium and insulin → phosphorus mapupunta sa cell Ang 6. Sitting still and not exercising potassium (sedentary lifestyle) ○ Sodium bicarbonate → Cannot be explained but it nagkakaroon Ng acid base causes kidney failure balance Potassium will go in RENAL FAILURE the cells Sodium bicarbonate Causes: helps balance acid 1. Diabetes mellitus levels in the body. As 2. Hypertension it reduces acidity, Obesity potassium moves These two are the number 1 into the cells to keep factor to renal failure everything balanced. 3. Pyelonephritis - microorganism, This can lower inflammation → can go to kidneys potassium levels in and cause renal failure the blood. National kidney & transplant Increased cardiac rate → because institute - only hospital in patient is anemic → blood doesn’t the Philippines to get have enough RBC to carry oxygen. to kidneys compensate the heart beats faster 1 Filipino develops CKD every (increased HR) to pump more blood 40 minutes = 36 everyday and deliver to vitals organs, 7 million in the Philippines including the kidneys → this is the are with CKD body’s way of trying to maintain oxygen supply to all arts of the body Manifestations: Abnormal heart sounds  Increased BP they slow down its Retinopathy → blood vessels in eyes elimination will dilate in an attempt to improve ○ Coffee lessen the excretion blood flow to the retina. Overtime of uric acid (limit coffee this can worsen the damage and intake to once a day) lead to vision problems ○ Canned juice How to check for ascites? ○ Red meat ○ Fluid waves (1L>) → may ○ Purines nakahawak sa gitna Ng tyan ○ Vegetables high in uric acid → tap one side of the Asparagus abdomen and the tap will Cauliflower create a wave that can be Mushrooms felt on the opposite side. spinach ○ Shifting dullness → pag nag METABOLIC ACIDOSIS palit Ng position Meron ○ Kidneys do not produce paring dullness na sound bicarb confirming the presence of ○ Accumulation of waste fluid product ○ Hydrogen ions will go in and Renal potassium will go out → Older people 50% decreased blood hyperkalemia to the kidneys as you age In metabolic Decreased urine output (oliguria) acidosis, the kidneys Azotemia → kidneys are damaged, fail to produce toxing cannot be removed enough bicarbonate Proteinuria → (bubbles, foamy) → to neutralize acids, destroyed basement membrane → leading to waste protein should be reabsorbed (for buildup in the blood. tissue repair and regeneration) To balance the Hematuria → RBC goes out acidity, hydrogen Hyperuricemia ions move into cells ○ Urea coming from meat and potassium ions protein shift out, causing ○ Uric acid → comes from food high potassium → uric acid will go to the levels (hyperkalemia) coldest place in the body (furthest from the heart = big Gastrointestinal toe) Anorexia → because of metallic ○ creatinine taste because of toxins Urine volume Nausea and vomiting ○ Anuria -