MICRO-TEACHING ON:

CRF

SUBMITTED TO, SUBMITTED BY,

MR. SUNEESH P.M, MS. MANSI PARMAR,
ASSISTANT PROFESSOR, M.Sc NURSING 1ST YEAR,
HOD MEDICAL SURGICAL NURSING, SAION,
SAION, RAJKOT.
RAJKOT.

SUBMITTED ON :-
 NAME OF student teacher : MS. Mansi Parmar

 Name of the EVALUATOR : MR. Suneesh P.M

 Course : M.Sc. (Nursing ) – 1st YEAR

 Topic : CRF

 Group : 2nd year B.Sc Nursing Students

 No of students : 53

 Venue : SHREE ANAND INSTITUTE OF NURSING

 Date : 25/09/2023

 Time : 15 minutes

 Teaching method : Lecture cum Discussion

 Teaching aids : PPT, WHITE BOARD, CHART, MODEL, LEAFLETS.

 Pre- request knowledge : The students should have the basic knowledge about the CHRONIC RENAL FAILURE
GENERAL OBJECTIVE

 Help the students to acquire in depth knowledge about Chronic renal failure and define it and explain about its incidence rate, etiology,
pathophysiology, clinical manifestation, diagnostic evaluation and management of Chronic renal failure.

SPECIFIC OBJECTIVES:

At the end of the class the students will be able to,

 Introduce topic- Chronic Renal Failure

 Define Chronic renal failure.
 Discuss the incidence of chronic renal failure.
 enumerate etiology of crf.
 elaborate patho physiology of crf.
 enlist clinical manifestation of crf.
 listout diagnostic evaluation of crf.
 explain management of crf
SR TIME SPECIFIC CONTENT TEACHING AV EVAUALTION
NO. OBJECTIVE LEARNING AIDS
ACTIVITY
1. 1 min The students INTRODUCTION Teacher: WHITE What is Meaning
will be  Chronic Renal Failure Affects approximately 290.000 People in Questioning BOARD
of chronic renal
the united states. It occurs with a gradual decrease in the failure?
Introduce the Student:
function of the kidney over time this loss of function is not
Chronic Renal reversible. Answering
Failure.  Chronic kidney disease also known as chronic renal failure is a
rapidly progressive deterioration or loss of renal functions.

What is definition
DEFINITION
2. 2 min The student will Teacher: CHART
of chronic renal
be able to Define Chronic renal failure is commonly classified as chronic kidney disease Questioning
and is listed as stage based on the patients level of glomerular filteration failure?
Chronic renalcapacity of the kidney stage 2 is used for patient with a GRF of 60 to 90 Student:
failure. ml per minute. Answering
- B.T Basvantthappa

3. 1 min The student INCIDENCE: Which are the

will be able to Chronic renal failure is a global threat to the health in general and for Teacher: PPT incidence rate of
developing countries in particular because therapy is expensive and
Discuss the Questioning
lifelong. chronic renal
incidence of  In India 90% of people can not afford the case. Student:
failure?
chronic renal  Over 1 million people world wide are alive on dialysis or with Answering
a functioning graft.
failure.
 Incidence of chronic renal failure has doubled in the last 15
years.
 In the 30 million people suffer from chronic renal failure.
 4. 2min ETIOLOGY:
Student will Teacher: MODEL Which are the
1. Hypertention
be able to Questioning etiological factors
2. Diabetus Mallitus
enumerate 3. Kidney Stone and Infection Student: affect crf?
etiology of crf. 4. Injury or Trauma Answering
5. Nephrotic Agent
6. Certain and Chemical

PATHOPHYSIOLOGY
5. 3min Student will Teacher: LEAF- Explain the patho
be able to Questioning LETS physiology of crf.
Due to etiological factors renal functions decline
elaborate patho Student:
physiology of Nephrone damage is progressive damage nephrons can not function Answering
crf. And to not recover.

Decreased Glomerular Filtration Rate

Remaining Nephrones under go change

To compensate for those damaged nephrons

Compensatory excretion continue GFR diminished

Filteration mode of concentrated blood by the remaining nephrones

Urine may containe abnormal amount of protein, rbc’s, white blood

Cells, or castes.

Increased serum creatinine bun level and retention of urea and other
Nitrogenous.
 Further damage of nephrones 80-90% damage cfr 10-20%

Then lead to chronic renal failure

Student will be Teacher: PPT Which are the
6. 2min CLINICAL MANIFESTATION
able to enlist Questioning clinical
1. General illness felling and fatigue.
clinical 2. Weakness Student: manifestation of
manifestation 3. Oligouria Answering crf?
4. Weight loss
of crf.
5. Bone pain
6. Sleeping disturbance
7. Menstrual period stops.

7. 1min Student will be Teacher: PPT Which are the

DIAGNOSTIC EVALUATION
able to listout Questioning diagnostic
1. History taking
diagnostic 2. Physical examination Student: evaluation of crf?
evaluation of 3. Blood testing Answering
4. Urine testing
crf.
5. Electrocardiogram
6. Imagining test
7. Kidney biopsy
8. Renal function test.

8. 3min Student will be MANAGEMENT Teacher: PPT Explain the

able to explain  Medical Management Questioning management of crf.
management of  Shock and infection is present should be treated. Student:
 For maintain of fluid balance daily weight monitoring.
crf Answering
 Excess fluid can be distended neck veins plural effusion
occurs circulatory failures can take place diretics are
 provided to the patient.
 Dialysis is some time necessary to prevent serious
complications related to electrolytes.
 Surgical Management
 Kidney transplant surgery
 Dialysis
 Hemodialysis
 Nursing Management
 To monitore and manage fluid and electrolytes balance
 To reduce metabolic rate
 To promote pulmonary function
 To prevent infection
 To provide skin care
 To provide support
 To provide nutritional therapy
.
SUMMARY:

 Till now we have seen about the Chronic renal failure and define it and explain about its incidence rate, etiology, pathophysiology, clinical
manifestation, diagnostic evaluation and management of Chronic renal failure.

BIBLIOGRAPHY

Teacher’s bibliography:

B T Basavanthappa “ Medical surgical nursing”, (4th ed) : jaydee publication

Javed Ansari & Farah Khan, “Textbook of Medical surgical nursing”, (2nd ed) peevee publication.