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aging Gender: Most common in males, cause of less levels of estrogen. less levels of estrogen increases BP Precipitating factors: Race: Filipino dishes are high in fats and cholesterol; pts diet Is high in fats and cholesterol Alcohol drinking: When alcohol enters the blood stream, it interferes the transport of o2 & nutrients to the heart through aorta and smaller veins
Renal hypofusion
Angiotensin
Angiotensin 2
Adrenal stimulation
Production of aldosterone
HYPERTENSION
Diagnostics: Excretory urography: Reveals renal athrophy, indicating chronic renal dse. ECG: Measures the electrical activity, rate, & rhythm of Heart valve chambers Echocardiogram: Provides picture of the heart valves & chambers
Labs: CBC: Determine RBC, WBC, & platelet count UA: May show microscopic of gross blood in the urine & presence of abnormal protein levels. BUN and creatinine determine and monitor kidney function.
Surgical management:
Nursing management:
Medical management:
Surgical decompression
Losartan, anticoagulants
Renal scarring
Fatigue
Increased BUN
Decreased GFR
Proteinuria
Surgical management: Nursing Management: Kidney transplant Maintain prescribed meds, Maintain fluid & electrolyte Balance, facilitate coping & preventive measures
Med management:
If treated:
If not treated:
FAIR PROGNOSIS
Decreased Erythropoesis
Decreased Hemoglobin
Decreased RBC
Anemia
Renal
Cardiovascular
CNS
Renal failure
Chest pain
Severe anemia
Tissue hypoxia
Progress to coma
DEATH
Coma