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Thursday, February 28, 2013

Incivility In Nursing

Case Study
Questions:
1.) Explain the renin-angiotensin-aldosterone system.
When the kidneys sense decreased profusion pressure, they afflict to increase this pressure by increasing blood ledger through the renin-angiotension-aldosterone system. Once the decreased pressure is sensed renin is released, which increases variety of angiotension to angiotension I. Angiotension I is in turn converted to angiotension II by the angiontension converting enzyme (ACE). Angiotension II causes vasoconstriction, which open fires the blood pressure. Angiotension II also stimulates aldosterone release from the adrenal gland gland. This leads to increased sodium reabsorption by the kidneys, which causes water to notice it, which then increases intravascular volume. The increased vasoconstriction and increased blood volume raise the blood pressure. Additionally, the perceived hypovolumic status causes the release of antidiuretic endocrine (ADH) from the posterior pituitary. ADH increases water reabsorption in the kidneys, which win contributes to increased volume and increased BP (McCance & adenosine monophosphate; Huether, 2010).
2.) What tests indicate glomerular function?
Serum creatinine concentration, cystatin C plasma concentration, and BUN levels indicate glomerular function (McCance & Huether, 2010).
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) Explain nephrotic syndrome and its characterizations.
Nephrotic syndrome is a indisposition of the glomerular filtration membrane that permits proteins (at least 3.5g) to pass into the urine resulting in protienuria, hypoalbuminemia, hyperlipidemia, lipiduria, Vit D deficiency, hypothyroidism and systemic edema. Nephrotic syndrome is more common in children than adults (McCance & Huether, 2010, p. 1384).

4.) What are some systemic effects of Chronic Kidney infirmity?
* Hyperphosphatemia results in hyperparathyroidism that can result in osteitis fibrosa- bone fervour with fibrous degeneration. High phosphorus levels reflect the kidneys softness to excrete excess phosphorus. The...If you want to get a respectable essay, order it on our website: Ordercustompaper.com



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