Predisposing Factors

Precipitating Factors
1. Genetics
1. Hypertension
2. Age
2. Obesity
3. Race
3. Diabetes
4. Family History

INJURY TO KIDNEY

DAMAGE TO NEPHRONS DAMAGE TO ADRENAL CANNOT PRODUCE

AND IFLAMMATION CORTEX ALDOSTERONE

INCREASED SERUM
FIBROSIS AND CANNOT REGULATE
POTASSIUM LEVELS
LEAD TO
SCARRING TO THE SERUM POTASSIUM
INCREASED
ALDOSTERONE
KIDNEYS PRODUCTION

Kenneth Ralph Salama?

S/S
1. SODIUM WASTE PRODUCTS INCREASE
CANNOT FILTER WASTE REDUCE KIDNEY
EDEMA RETURN TO THE ALDOSTERONE
RETENTION IN THE BODY FUNCTION
2. INCREASE CIRCULATION SECRETION
POTASSIUM
3. INCREASE
PHOSPHORUS
PULMONARY EDEMA/
4. DECREASE
PITTING EDEMA
CALCIUM
ACIDOSIS INCREASE SODIUM
DECLINE IN GFR ABSORPTION AND
INCREASE WATER
RETENTION

CONVERTS ANGIOTENSIN
TO ANGIOTENSIN 1 IN THE
DECREASE PERMANENT DAMAGE DEPRESS RENIN LIVER AND ANGIOTENSIN 2

IMPAIRED RAAS IS FORMED IN THE LUNGS

BY ANGIOTENSIN 1;
ERYTHROPOERINE TO KIDNEYS FORMATION VASOCONSTRICTOR THAT
STIMULATE ADRENAL
PRODUCTION CORTEX TO PRODUCE
ALDOSTERONE

Kenneth Ralph Salama?

INCREASE BLOOD
PRESSURE AND
INCREASE FLUID
VOLUME IN THE BODY
NO STIMULATION OF CHRONIC KIDNEY
PRODUCTION OF RBC DISEASE
IN THE BONE MARROW
HYPERTENSION

DECREASE
HEMOGLOBIN

ANEMIA

LABORATORIES DIAGNOSTICS RADIOLOGY

PULMONARY
CONGESTION SEC TO
CKD SEC HKD

HIGH SENSITIVITY TROP COMPLETE BLOOD

SGPT/SGOT DIRRENTIAL COUNT ELECTROLYTES ARTERIAL BLOOD GAS CREATININE X-RAY
I COUNT

use invisible IF TREATED IF NOT TREATED

SGPT & SGOT t es t t o
anal y z e y our l i v er
f unc t i on and r ul e out
pos s i bl e c ompl i c at i ons .
RESULT
SGPT: 20.43 ?L
SGOT: 31.86 ?L
the latest generation of the A creatinine test is a measure of
cardiac enzyme testing that is a blood test. It's used to look electromagnetic energy
The differential count measures is a blood test that measures checks the balance of acids how well your kidneys are
allows for detection of very low the percentages of each type levels of the body's main
at overall health and find a wide
and bases, known as the pH beams to produce images
levels of troponin T, helping to range of conditions, including performing their job of filtering of internal tissues, bones,
of leukocyte present electrolytes balance, in your blood
diagnose heart attacks more anemia, infection and leukemia. waste from your blood and organs on film or
quickly
digital media. LIFESTYLE CONTINUATION OF
MODIFICATIONS: LOW HEMODIALYSIS AS PER INCREASE RISK FOR
SALT LOW FAT DIET AND DOCTOR'S ORDER. RESPIRATORY MORE FLUID BUIL-UP IN DYSPNEA AND
BILATERAL LOWER AVOID DRINKING DRINKING DISTRESS THE LUNGS DECREASE O2
pH: 7.45 LOBE CONSOLIDATION CAFFEINATED DRINKS. MAINTENANCE SATURATION
HEMOGLOBIN: 66 g/dL
NEUTROPHILS: 85 ?L pCO2: 24 CONSIDER BILATERAL SLIGHT PHYSICAL MEDICATIONS. NOT
36. 26 ?L Mg: 1.26 ?L HEMATOCTRIT: 0.22 g/dL CREATININE: 774.36 ?L
LYMPHOCYTES: 9 ?L RED BLOOD CELLS: 2.22 pO2: 172 PNEUMONIA AND EXERCISE AND A SKIPPING
WHITE BLOOD CELLS: 10.9 Temp: 37.0 CONSIDER LEFT HEALTHY DIET HEMODIALYSIS.
VENTRICULAR
CARDIOMEGALLY
PROGRESS TO INCREASE RISK FOR
PULMONARY EDEMA PULMONARY
INFECTIONS
REDUCED RISK OF
OCCURENCE OF
DISEASE AND
COMPLICATIONS

CARDIOGENIC SHOCK

GOOD PROGNOSIS MULTI-ORGAN FAILURE

DEATH

POOR PROGNOSIS