University of Immaculate Conception (CRF)

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University of Immaculate Conception

Davao city

CHRONIC RENAL FAILURE


Schematic diagram

PREDISPOSING FACTORs:
* family history (DM,HPN) Deterioration and destruction of nephrons Decreased GFR and clearance (serum creatinine and BUN increases) modifiable factors: factors Lifestyle (smoking, alcohol) * Certain diseases (DM, CGN) non modifiable * age 55 years old and above *

Remaining functioning nephrons hypertrophy (Dilute urine , polyuria) ( hyponatremia) Further loss of kidney function loss of excretory renal function loss of non-excretory renal function Kidney losses ability to concentrate urine loss of Na

H secretion and HCO3 phosphate excretion failure in the production of erythropoietiin reabsorption metabolic acidosis infection hyperphosphatemia anemia calcium reabsorption

K excretion

NA reabsorption in renal tubules

excretion of nitrogenous waste uremia

immune disturbance

hyperkalemia

water retention

delayed wound healing

pallor

HPN

edema

(tetany, muscle spasms, arrhythmias)

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